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OMB Number: 3235-0287
Expires: December 31, 2001
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 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 this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b). (Print or Type Responses)
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1. Name and Address of Reporting Person*
Westfall Carol
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(Last) (First) (Middle)
501 Lake Avenue
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(Street)
St. Louis MO 63119
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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)
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4. Statement for Month/Year
August 2002
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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 [X] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
President, Search and Recruitment Division
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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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4. 5. 6.
Securities Acquired (A) Amount of Owner-
3. or Disposed of (D) Securities ship
Trans- (Instr. 3, 4 and 5) Benefi- Form: 7.
2. action ----------------------- cially Direct Nature of
1. Transaction Code Owned at End (D) or Indirect
Title of Security Date (Instr. 8) (A) of Month Indirect Beneficial
(Instr. 3) (Month/ ---------- or (Instr. 3 (I) Ownership
Day/Year) Code V Amount (D) Price and 4) (Instr.4) (Instr. 4)
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Common Stock 8/20/02 X 4,400 A 7.75 12,884 D
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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
5(b)(v).
(Over)
SEC 1474 (3-99)
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- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Employee Exercise 8/20/02 X 4,400 (1) 12/16/09 Common 4,400 7.75 29,247(2) D
Stock Stock
Option
(right to
buy)
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Explanation of Responses:
1 The option is subject to the vesting schedule set forth in the Amended and
Restated Cross Country, Inc. 1999 Stock Option Plan. The option is
immediately exercisable as to 7,252 shares. The option will be exercisable
as 10,877 shares as of December 16, 2002 and 14,503 shares as of December
16, 2003. After this transaction, the option is immediately exercisable
as to 2,852 and will be exercisable as to 6,477 shares as of December 16,
2002 and 10,103 shares as of December 16, 2003.
2 10,103 shares were granted pursuant to the Amended and Restated Cross
Country, Inc. 1999 Stock Option Plan as set forth in footnote number 1
(above). The additional 19,144 shares were awarded pursuant to the Amended
and Restated Cross Country, Inc. 1999 Equity Participation Plan. Pursuant
to the Amended and Restated Cross Country, Inc. 1999 Equity Participation
Plan, the option is immediately exercisable as to 11,965 shares and will be
exercisable as to 14,358 shares as of December 16, 2002, 16,751 shares as
of June 16, 2003 and 19,144 shares as of December 16, 2003. Pursuant to the
Amended Restated Cross Country, Inc. 1999 Equity Participation Plan, the
first tranche of 3,426 shares will be exercisable at $7.75 per share, the
second tranche of 6,449 shares will be exercisable at $11.62 per share, the
third tranche of 6,449 shares will be exercisable at $15.50 per share, the
fourth tranche of 1,411 shares will be exercisable at $19.37 per share and
the remaining tranche of 1,409 shares will be exercisable at $23.25 per
share.
/s/ Carol Westfall 8/20/02
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**Signature of Reporting Person Date
Carol Westfall
** 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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