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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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).
(Print or Type Responses)
_______________________________________________________________________________
1. Name and Address of Reporting Person*
Kalafa Victor
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(Last) (First) (Middle)
3126 NW 60th Street
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(Street)
Boca Raton FL 33496
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Cross Country, Inc. (CCRN)
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
________________________________________________________________________________
4. Statement for Month/Day/Year
4/11/03
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5. If Amendment, Date of Original (Month/Day/Year)
________________________________________________________________________________
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
V.P., Corporate Development and Strategy
________________________________________________________________________________
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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5. 6.
4. Amount of Owner-
2A. Securities Acquired (A) or Securities ship
Deemed 3. Disposed of (D) Beneficially Form: 7.
Execu- Transaction (Instr. 3, 4 and 5) Owned Follwng Direct Nature of
2.Trans- tion Code ------------------------------- Reported (D) or Indirect
1. action Date, (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security Date if any ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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(Over)
SEC 1474 (9-02)
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Persons who respond to the collection of information contained in
this form are not required to respond unless the form displays a
currently valid OMB control number
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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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10.
9. Owner-
Number ship
of Form
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- 3A. 4. Securities Date Securities Price Bene- ies: In-
cise 3. Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Beneficially direct
Price Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Owned Owned Bene-
1. of action Date, Code of(D) (Month/Day/Year) Amount ative Following at ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Reported end Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity Transaction(s)of month ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Employee $10.38 4/11/03 A 8,000 (1) 4/11/13 Common 8,000 28,305 D
Stock Option Stock
(Right to Buy)
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Explanation of Responses:
(1) The option vests in four equal annual installments beginning on
April 11, 2004.
Victor Kalafa
/s/ Victor Kalafa 4/11/03
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**Signature of Reporting Person Date
Name of Reporting Person
** 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.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
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