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+--------+ UNITED STATES
| FORM 5 | SECURITIES AND EXCHANGE COMMISSION
+--------+ Washington, D.C. 20549
[_] Check box if
no longer subject ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
to Section 16.
Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities
obligations may Exchange Act of 1934, Section 17(a) of the
continue. See Public Utility Holding Company Act of 1935 or
Instruction 1(b). Section 30(f) of the Investment Company Act of 1940
[_] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Allison Gordon Y.
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(Last) (First) (Middle)
c/o Edgewater Technology, Inc.
302 Millsap Rd
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(Street)
Fayetteville AR 72703
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol Edgewater Technology, Inc. (EDGW)
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3. I.R.S. Identification Number of Reporting Person, if an entity
(Voluntary)
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4. Statement for Month/Year 2001
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[ ] Director [X] Officer [ ] 10% Owner [ ] Other
(give title below) (specify below)
E.V.P. General Counsel
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7. Individual or Joint/Group Reporting (check applicable line)
X Form Filed by One Reporting Person
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___ 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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1. Title of 2. Transaction 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
Security Date (Month/ Code (Instr. 8) or Disposed of (D) Securities Form: Direct Indirect
(Instr. 3) Day/Year) (Instr. 3, 4 and 5) Beneficially (D) or Beneficial
Owned at the Indirect (I) Ownership
---------------------- end of Issuer's (Instr. 4) (Instr. 4)
(A) or Fiscal Year
Amount (D) Price (Instr. 3 and 4)
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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
4(b)(v).
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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Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative
Security (Instr. 3) or Exercise Date Code (Instr. 8) Securities Acquired (A)
Price of (Month/Day/Year) or Disposed of (D)
Derivative (Instr. 3, 4, and 5)
Security --------------------------
(A) (D)
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Stock Option $16.00
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Stock Option $ 8.63
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Stock Option $27.00 J (2)
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Stock Option $24.50 J (2)
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6. Date Exercisable 7. Title and Amount of 8. Price of 9. Number of 10. Ownership of 11. Nature of
and Expiration Underlying Securities Derivative Derivative Derivative Indirect
Date (Month/Day/ (Instr. 3 and 4) Security Securities Security: Beneficial
Year) (Instr. 5) Beneficially Direct (D) or Ownership
---------------------------------------------- Owned at End Indirect (1) (Instr. 4)
Date Expira- Amount or of Year (Instr. 4)
Exer- tion Title Number of (Instr. 4)
cisable Date Shares
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(1) 6/23/07 Common Stock 30,000 D
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(1) 4/19/09 Common Stock 15,000 45,000 D
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Common Stock 10,000 D
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Common Stock 5,000 D
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Explanation of Responses:
(1) These options are fully vested.
(2) Options were voluntarily canceled on December 31, 2001.
/s/ Gordon Y. Allison 2/14/02
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**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.