FORM 5 OMB APPROVAL
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[ ] Check this box if no longer subject to Section OMB Number: 3235-0362
16. Form 4 or Form 5 obligations may Expires: December 31, 2001
continue. See Instruction 1(b). Estimated average burden
[ ] Form 3 Holdings Reported hours per response 1.0
[ ] Form 4 Holdings 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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to
Issuer (Check all applicable)
Slaine Mason P. Information Holdings Inc. (IHI)
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(Last) (First) (Middle) 3. IRS or Social 4. Statement for [X] Director [X] 10% Owner
Security Number Month/Year [X] Officer (give [ ] Other (specify
of Reporting title below) below)
c/o Information Holdings Inc. Person, if an Year end
2777 Summer Street, Suite 209 entity 12/31/00 President and Chief Executive Officer
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(Street) 5. If Amendment, Date of 7. Individual or Joint/Group Reporting
Original (Month/Year) (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting
Stamford Connecticut 06905 Person
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(City) (State) (Zip)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security (Instr. 3) 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Instr. 8) Owned at End Direct Bene-
(Month/ of Issuer's (D) or ficial
Day/ Fiscal Year Indirect Owner-
Year) (Instr. 3 (I) ship
and 4) (Instr. 4) (Instr. 4)
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Amount (A) or (D) Price
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*If the form is filed by more than one reporting person, see Instruction 4(b)(v).
(Over)
SEC 2270 (3-99)
FORM 5 (continued) 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 2. Conver- 3.Trans- 4. Transac- 5. Number of 6. Date Exer- 7. Title and Amount of
Derivative sion or action tion Code Derivative cisable and Underlying Securities
Security Exercise Date (Instr. 8) Securities Expiration (Instr. 3 and 4)
(Instr. 3) Price of (Month/ Acquired (A) Date (Month/
Derivative Day/ or Disposed Day/Year)
Security Year) of (D)
(Instr.3, 4,
and 5)
(A) (D) Date Expira- Amount or
Exer- tion Title Number of
cisable Date Shares
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Employee Stock Option 37.25 3/15/00 A A (1) 3/15/10 Common Stock 200,000
(option to buy)
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[CONTINUATION OF THE ABOVE CHART]
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8. Price of 9. Number 10. Owner- 11. Nature
Derivative of Deriv- ship of In-
Security ative of De- direct
(Instr. 5) Secur- rivative Bene-
ities Secu- ficial
Bene- rity: Owner-
ficially Direct ship
Owned (D) or (Instr. 4)
at Indi-
End rect (I)
of (Instr. 4)
Year
(Instr. 4)
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2,120,900 D
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Explanation of Responses:
(1) 100,000 options are exercisable on 3/15/01; 100,000 options are exercisable on 3/15/02
/s/ Mason P. Slaine 2/12/2001
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** Intentional misstatements or omissions of facts constitute Federal Criminal **Signature of Reporting Person Date
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. 2270 (3-99)
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.