0001127602-11-014751.txt : 20110503
0001127602-11-014751.hdr.sgml : 20110503
20110503170449
ACCESSION NUMBER: 0001127602-11-014751
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20110502
FILED AS OF DATE: 20110503
DATE AS OF CHANGE: 20110503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bogusz Patricia
CENTRAL INDEX KEY: 0001519545
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28740
FILM NUMBER: 11806257
MAIL ADDRESS:
STREET 1: 100 CLEARBROOK ROAD
CITY: ELMSFORD
STATE: X1
ZIP: 10523
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
3
1
form3.xml
PRIMARY DOCUMENT
X0203
3
2011-05-02
0
0001014739
BioScrip, Inc.
BIOS
0001519545
Bogusz Patricia
100 CLEARBROOK ROAD
ELMSFORD
NY
10523
1
Vice President, Finance
Common Stock, Par Value $0.0001 Per Share
3028
D
Common Stock, $.0001 Par Value
7875
D
Employee Stock Option
6.49
2006-10-24
2015-10-24
Common Stock, $.0001 Par Value
5000
D
Employee Stock Option
2.47
2007-11-01
2016-11-01
Common Stock, $.0001 Par Value
9000
D
Employee Stock Option
6.52
2009-04-29
2018-04-29
Common Stock, $.0001 Par Value
19687
D
Employee Stock Option
2.73
2010-04-28
2019-04-28
Common Stock, $.0001 Par Value
20000
D
Employee Stock Option
6.46
2011-07-27
2020-07-27
Common Stock, $.0001 Par Value
10000
D
Employee Stock Option
4.24
2012-03-01
2021-03-01
Common Stock, $.0001 Par Value
20000
D
Employee Stock Option
4.24
2012-04-26
2021-04-26
Common Stock, $.0001 Par Value
50000
D
Unvested
Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant.
/s/ Barry A. Posner, attorney-in-fact for Ms. Bogusz
2011-05-03
EX-24
2
doc1.txt
POWER OF ATTORNEY
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints each of Barry A. Posner and Gregory O. Ogunsanya, each acting
individually, as the undersigned's true and lawful attorney-in-fact, with full
power and authority as hereinafter described on behalf of and in the name,
place and stead of the undersigned to:
1) prepare, execute, acknowledge, deliver and file in the undersigned's name
and on the undersigned's behalf, and submit to the United States Securities
and Exchange Commission (the "SEC"), a Form ID (including any amendments
thereto) and any other documents necessary or appropriate to obtain codes and
passwords for the undersigned to make electronic filings with the SEC of
reports required by Section 16(a) of the Securities Exchange Act of 1934 and
the rules and regulations promulgated thereunder, as amended from time to time
(the "Exchange Act");
2) prepare, execute, acknowledge, deliver and file Forms 3, 4 and 5 (including
any amendments thereto) with respect to the securities of BioScrip, Inc., a
Delaware corporation (the "Company"), required to be filed with the SEC, any
national securities exchanges and the Company pursuant to Section 16(a) of the
Exchange Act;
3) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees,
and the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
4) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the
undersigned in connection with the foregoing.
The undersigned acknowledges that:
1) This Limited Power of Attorney authorizes, but does not require, each such
attorney-in-fact to act in their discretion on information provided to such
attorney-in-fact without independent verification of such information;
2) Any documents prepared and/or executed by either of such attorneys-in-fact
on behalf of the undersigned pursuant to this Limited Power of Attorney will
be in such form and will contain such information and disclosure as such
attorney-in-fact, in his or her discretion, deems necessary or desirable;
3) Neither the Company nor either of such attorneys-in-fact assumes
(i) any liability for the undersigned's responsibility to comply with the
requirement of the Exchange Act, (ii) any liability of the undersigned for any
failure to comply with such requirements, or (iii) any obligation or liability
of the undersigned for profit disgorgement under Section 16(b) of the Exchange
Act; and
4) This Limited Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under the
Exchange Act, including without limitation the reporting requirements under
Section 16 of the Exchange Act.
The undersigned hereby gives and grants each of the foregoing attorneys-in-fact
full power and authority to do and perform all and every act and thing
whatsoever requisite, necessary or appropriate to be done in and about the
foregoing matters as fully to all intents and purposes as the undersigned might
or could do if present, hereby ratifying all that each such attorney-in-fact
of, for and on behalf of the undersigned, shall lawfully do or cause to be
done by virtue of this Limited Power of Attorney.
This Limited Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms 3, 4 and 5 with respect
to the undersigned's holdings and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing
delivered to each such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 29th day of April 2011.
/s/ Patricia Bogusz
--------------------------------------------
Signature
Patricia Bogusz
--------------------------------------------
Print Name
STATE OF Minnesota
Hennepin County
On this 29th day of April, 2011, Patricia Bogusz personally appeared
before me, and acknowledged that she executed the foregoing instrument for the
purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/ Molly Beth Tehle
-----------------------------------
Notary Public
My commission expires January 31, 2012