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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
Clancey David
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(Last) (First) (Middle)
c/o Edgewater Technology, Inc.
20 Harvard Mills Square
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(Street)
Wakefield MA 01880
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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 to Issuer (Check all applicable)
[ ] Director [X] Officer [ ] 10% Owner [ ] Other
(give title below) (specify below)
Sr. Vice President - Chief Technology Officer
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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 Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Month/ (Instr. 8) Owned at the Direct Bene-
Day/ end of (D) or ficial
Year) Issuer's Indirect Owner-
(A) or Fiscal Year (I) ship
Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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Common Stock 3,080 D
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Common Stock 3,478/1/ I By Employee
Stock Purchase
Plan
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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
OMB Number.
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/1/Between July 1999 and December 31, 2001, the reporting person acquired 3,478
shares of EDGW common stock under the EDGW 1999 Employee Stock Purchase Plan.
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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. Conver- 3. Trans- 4. Transac- 5. Number of Deriv-
Security (Instr. 3) sion or action tion Code ative Securities
Exercise Date (Instr. 8) Acquired (A) or
Price of (Month/ Disposed of (D)
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year) --------------------------
Security (A) (D)
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Stock Option $6.25
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Stock Option $4.40 6/8/01 A 12,500
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6. Date Exercisable 7. Title and Amount of 8. Price of 9. Number of 10. Ownership of 11. Nature
and Expiration Underlying Securities Derivative Derivative Derivative of Indirect
Date (Instr. 3 and 4) Security Securities Security: Beneficial
(Month/Day/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) 8/31/10 Common 444,265 D
Stock
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(2) 6/8/11 Common 12,500 456,765 D
Stock
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Explanation of Responses:
1) These options vest as follows: 20% on the date of grant - August 31, 2000;
20% on February 27, 2001; 30% on February 27, 2002; and 30% on February 27,
2003.
2) These options vest as follows: 20% on the date of grant - June 8, 2001; 20%
on April 26, 2002; 30% on April 26, 2003; and 30% on April 26, 2004.
/s/ David Clancey 2/14/02
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**Signature of Reporting Person Date
David Clancey
** 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.
(Print or Type Reponses)