5 1 file001.txt FORM 5 -------- FORM 5 -------- ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0362 Expires: January 31, 2005 Estimated average burden hours per response.........1.0 ------------------------------ [ ] Check this 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 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 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(h) of the Investment Company Act of 1940 ________________________________________________________________________________ 1. Name and Address of Reporting Person* Berman, Richard J. -------------------------------------------------------------------------------- (Last) (First) (Middle) 350 Corporate Blvd. -------------------------------------------------------------------------------- (Street) Robbinsville, NJ 08691 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol NexMed, Inc. (NEXM) ________________________________________________________________________________ 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year December 31, 2002 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ____________________________________________________________________ ________________________________________________________________________________ 7. Individual or Joint/Group Reporting (check applicable line) [X] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person ________________________________________________________________________________ ================================================================================ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ================================================================================
5. 6. 4. Amount of Owner- 2A. Securities Acquired (A) or Securities ship 2. Deemed 3. Disposed of (D) Beneficially Form: 7. Trans- Execution Transaction (Instr. 3, 4 and 5) Owned Direct Nature of action Date, Code ----------------------------- at End (D) or Indirect 1. Date if any (Instr. 8) (A) of Issuer's Indirect Beneficial Title of Security (Month/ (Month/ ------------ or Fiscal Year (I) Ownership (Instr. 3) Day/Year) Day/Year) Amount (D) Price (Instr. 3 & 4) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock (1) 6/21/02 7/5/02 A 5,823 A 2.49 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock (1) 8/19/02 8/30/02 A4 1,074 A 1.86 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock (1) 10/29/02 11/11/02 A4 1,282 A 1.56 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock (1) 12/16/02 12/30/02 A4 2,933 A 0.68 11,112 D ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* 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 (Over) SEC 2270 (9-02) FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ================================================================================
10. 9. Owner- Number ship 2. of of Conver- 5. 7. Deriv- Deriv- 11. sion Number of Title and Amount ative ative Nature or 3A. Derivative 6. of Underlying 8. Secur- Secur- of Exer- Deemed 4. Securities Date Securities Price ities ity In- cise 3. Execut- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Bene- Direct direct Price Trans- ion action or Disposed Expiration Date ---------------- Deriv- ficially (D) or Bene- 1. of action Date if Code of (D) (Month/Day/Year) Amount ative Owned In- ficial Title of Deriv- Date any (Instr. (Instr. 3, ---------------- or Secur- at End direct Owner- Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity of Year (I) ship Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Year) (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
EXPLANATION OF RESPONSES: In lieu of cash compensation, the Non-Employee Directors opted to receive shares of the Company's common stock for their services rendered to the Board of Directors. The price per share (the "Price") is the average of the closing price of the Company's common stock over ten consecutive trading days. Each pricing period commences on the Transaction Date which is the day of the Board meeting, and ends on the Execution Date which is the last day of the ten-day pricing period. The number of shares is calculated based on the amount of cash the Director would have received in connection with the Board meeting divided by the Price. The shares are issued but held by the Company and not subject to disposition by the Director until the termination of the Director's service from the Company. /s/ Vivian Liu, Attorney-in-Fact January 13, 2003 --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** 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. Page 2 SEC 2270 (9-02)