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Securities and Exchange Commission
Washington, DC 20549
Form 8-K/A
Amendment No. 2
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported) September 24, 2004
PATIENT INFOSYSTEMS, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware 0-22319 16-1476509
(State or Other Jurisdiction of (Commission File Number) (IRS Employer
Incorporation) Identification No.)
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46 Prince Street, Rochester, New York 14607
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(Address of Principal Executive Offices) (Zip Code)
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Registrant's telephone number, including area code: (585) 242-7200
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions (see General Instruction A.2. below):
[_] Written communications pursuant to Rule 425 under the Securities Act (17
CFR 230.425)
[_] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
[_] Pre-commencement communications pursuant to Rule 14d-2(b) under the
Exchange Act (17 CFR 240.14d-2(b))
[_] Pre-commencement communications pursuant to Rule 13e-4(c) under the
Exchange Act (17 CFR 240.13e-4(c))
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Explanatory Note:
The Registrant hereby amends Item 9.01 of its Current Report on Form 8-K
filed on September 24, 2004, as amended on October 7, 2004, to include unaudited
condensed pro forma financial statements in accordance with paragraph (b) of
Item 9.01 of Form 8-K. Except as set forth in Item 9.01 below, no other changes
are made to the Current Report on Form 8-K filed on September 24, 2004, as
amended.
ITEM 9.01 Financial Statements and Exhibits
(b) Pro Forma Financial Information
Patient Infosystems, Inc. unaudited condensed pro forma financial
statements of operations for the six months ended June 30, 2004 and unaudited
condensed pro forma statements of operations for the year ended December 31,
2003.
(c) Exhibits
Exhibit Description
99.01 CBCA Care Management, Inc. Financial Report for the year ended
December 31, 2003.
99.02 CBCA Care Management, Inc. Financial Report for the six
months ended June 30, 2004.
99.03 Unaudited pro forma combined condensed financial statements.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
PATIENT INFOSYSTEMS, INC.
Date: December 6, 2004 By: /s/Kent A. Tapper
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Kent A. Tapper
Sr. Vice President
principal accounting officer