SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Gulacsy Elizabeth

(Last) (First) (Middle)
6085 INDIAN FOREST CIRCLE

(Street)
LAKE WORTH FL 33463

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/28/2011
3. Issuer Name and Ticker or Trading Symbol
CROSS COUNTRY HEALTHCARE INC [ CCRN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Accounting Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock (restricted)(1) 1,800 D
Common Stock (restricted)(2) 2,000 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (3) 08/08/2012 Common Stock 3,000 12.31 D
Employee Stock Option (right to buy) (4) 04/11/2013 Common Stock 1,125 10.38 D
Employee Stock Option (right to buy) (5) 02/16/2015 Common Stock 3,000 15.6 D
Stock Appreciation Right (6) 10/01/2014 Common Stock 2,000 18.25 D
Stock Appreciation Right (7) 05/06/2015 Common Stock 2,000 13.02 D
Stock Appreciation Right (8) 06/01/2016 Common Stock 2,000 8.56 D
Stock Appreciation Right (9) 06/01/2017 Common Stock 2,000 8.09 D
Explanation of Responses:
1. The restricted shares of common stock vest in four equal installments. The first installment vested on June 1, 2010, and the remaining three installments will vest on June 1, 2011, June 1, 2012 and June 1, 2013.
2. The restricted shares of common stock vest in four equal installments. The installments will vest on June 1, 2011, June 1, 2012, June 1, 2013 and June 1, 2014.
3. The stock options vested in four equal installments on August 8, 2003, August 8, 2004, August 8, 2005 and August 8, 2006.
4. The stock options vested in four equal installments on April 11, 2004, April 11, 2005, April 11, 2006 and April 11, 2007.
5. The stock options vested in four equal installments on February 16, 2006, February 16, 2007, February 16, 2008 and February 16, 2009.
6. The stock appreciation rights vest in four equal installments. The first installment vested on October 1, 2008, the second installment vested on October 1, 2009, the third installment vested on October 1, 2010, and the remaining installment will vest on October 1, 2011.
7. The stock appreciation rights vest in four equal installments. The first installment vested on May 6, 2009, the second installment vested on May 6, 2010, and the remaining two installments will vest on May 6, 2011 and May 6, 2012.
8. The stock appreciation rights vest in four equal installments. The first installment vested on June 1, 2010, and the remaining three installments will vest on June 1, 2011, June 1, 2012 and June 1, 2013.
9. The stock appreciation rights vest in four equal installments. The installments will vest on June 1, 2011, June 1, 2012, June 1, 2013 and June 1, 2014.
Remarks:
/s/ Elizabeth Gulacsy 04/05/2011
** Signature of Reporting Person Date
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).
** 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 is insufficient, see Instruction 6 for procedure.
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