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OMB APPROVAL
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OMB Number 3235-0362
Expires: September 30, 1998
Estimated average burden
hours per response ....... 1.0
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
[_] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Buscema, John
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(Last) (First) (Middle)
1 Paragon Drive, Suite 240
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(Street)
Montvale, NJ 07645
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
"MDCM"
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
12/99
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[_] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Executive Vice President
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7. Individual or Joint/Group Filing
(Check applicable line)
[X] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 5-07/98)
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FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Warrant to Common
Purchase $0.71 140,000 04/07/95 None Stock 140,000 140,000 D
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Stock Options $0.79 04/25/96 A 52,500 (1) 04/24/07 Common 52,500 52,500 D
(Right to Buy) Stock
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Stock Options $1.07 06/06/97 A 70,000 (2) 06/06/07 Common 70,000 122,500 D
(Right to Buy) Stock
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Stock Options $1.07 05/20/98 A 21,000 (3) 05/20/08 Common 21,000 143,500 D
(Right to Buy) Stock
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Stock Options $1.64 10/31/98 A 17,500 (4) 10/31/08 Common 17,500 161,000 D
(Right to Buy) Stock
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Stock Options $8.00 08/11/99 A(4) 14,000 (5) 08/10/09 Common 14,000 175,000 D
(Right to Buy) Stock
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</TABLE>
Explanation of Responses:
(1) Options for 21,000 shares were exercisable on 4/10/97, two years after
Reporting Person's date of initial employment with Company; options for an
additional 10,500 shares were exercisable on each of April 10, 1998 and
1999; options for an additional 10,500 shares will become exercisable on
April 10, 2000.
(2) Options for 28,000 shares were exercisable on 4/10/97, two years after
Reporting Person's date of initial employment with Company; options for an
additional 14,000 shares were exercisable on each of April 10, 1998 and
1999; options for an additional 14,000 shares will become exercisable on
April 10, 2000.
(3) Options for 4,200 shares were exercisable on 5/20/99, options for an
additional 4,200 shares will become exercisable on each of May 20, 2000,
2001, 2002 and 2003.
(4) Options for 3,500 shares were exercisable on 10/31/99, options for an
additional 3,500 shares will become exercisable on each of October 31,
2000, 2001, 2002 and 2003.
(5) Options for 2,800 shares will become exercisable on each of August 11,
2000, 2001, 2002, 2003 and 2004.
/s/ Edwin Johnson February 14, 2000
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**Signature of Reporting Person Date
John Buscema
By: Edwin Johnson, Attorney-in-Fact
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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