-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MxPfEjl74fBbZMifZQA+S3sCN9pl4/f+y5hT/YV/F8IX3qANHEjBc30RBZsrowwi e6YRaWOu9C6fnyX9O0ZeoQ== 0001014739-05-000087.txt : 20051123 0001014739-05-000087.hdr.sgml : 20051123 20051123112708 ACCESSION NUMBER: 0001014739-05-000087 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051121 FILED AS OF DATE: 20051123 DATE AS OF CHANGE: 20051123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BioScrip, Inc. CENTRAL INDEX KEY: 0001014739 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 050489664 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARFORA ALFRED CENTRAL INDEX KEY: 0000947959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 051223489 BUSINESS ADDRESS: STREET 1: 63 COPPS HILL RD CITY: RIDGEFIELD STATE: CT ZIP: 06877 BUSINESS PHONE: 9144601627 MAIL ADDRESS: STREET 1: C/O MIM CORP STREET 2: 100 CLEARBROOK ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 4 1 car121.xml X0202 4 2005-11-21 0 0001014739 BioScrip, Inc. BIOS 0000947959 CARFORA ALFRED 100 CLEARBROOK ROAD ELMSFORD NY 10523 0 1 0 0 EVP, Eastern Region Common Stock, $.0001 par value 2005-11-21 4 S 0 8835 7.9809 D 0 D Employee Stock Option 6.0000 2007-02-28 2015-06-30 Common Stock, $.0001 par value 103500 103500 D Employee Stock Option (Right to Buy) 6.1100 2004-03-12 2013-03-12 Common Stock, $.0001 par value 150000 150000 D Employee Stock Option (Right to Buy) 7.9500 2004-09-24 2013-09-24 Common Stock, $.0001 par value 200000 200000 D Fully Vested Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. /s/ Carfora, Alfred 2005-11-23 -----END PRIVACY-ENHANCED MESSAGE-----