0000950142-11-000829.txt : 20110428
0000950142-11-000829.hdr.sgml : 20110428
20110428200208
ACCESSION NUMBER: 0000950142-11-000829
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110426
FILED AS OF DATE: 20110428
DATE AS OF CHANGE: 20110428
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WOODWARD GORDON
CENTRAL INDEX KEY: 0001257435
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28740
FILM NUMBER: 11790424
MAIL ADDRESS:
STREET 1: C/O KOHLBERG & CO
STREET 2: 111 RADIO CIRCLE
CITY: MT KISCO
STATE: NY
ZIP: 10549
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BioScrip, Inc.
CENTRAL INDEX KEY: 0001014739
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912]
IRS NUMBER: 050489664
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0427
BUSINESS ADDRESS:
STREET 1: 100 CLEARBROOK ROAD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
BUSINESS PHONE: 914 460 1600
MAIL ADDRESS:
STREET 1: 100 CLEARBROOK ROAD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
FORMER COMPANY:
FORMER CONFORMED NAME: MIM CORP
DATE OF NAME CHANGE: 19960516
4
1
es1100302_form4-woodwardex.xml
FORM 4
X0303
4
2011-04-26
0
0001014739
BioScrip, Inc.
BIOS
0001257435
WOODWARD GORDON
111 RADIO CIRCLE
MOUNT KISCO
NY
10549
1
0
0
1
(see remarks below)
Common Stock, $.0001 Par Value
2011-04-26
4
A
0
10000
0
A
20000
D
Pursuant to the terms of an Assignment and Transfer Agreement entered into on July 7, 2010, Mr. Woodward transferred his
pecuniary interest in these shares to Kohlberg & Co., LLC, but has retained all voting and dispositive power with respect to
such shares. Mr. Woodward disclaims beneficial ownership of such shares except to the extent of his pecuniary interest
therein.
Mr. Woodward was initially appointed to the board of directors of the Issuer on March 25, 2010 as the designee of Kohlberg
Investors V, L.P. Kohlberg Management V, L.L.C. is the general partner of Kohlberg Investors V, L.P. Mr. Woodward is a
member and Vice President of Kohlberg Management V, L.L.C. and a member of its Operating Committee.
/s/ Gordon H. Woodward
2011-04-28