-----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, GLzt+TUXCsrz8hJydnamRQhCeRsPpF5qFGd9QBXw+CaHhhoJ/W9TiA3coRHBiLtI 5NvmzZQwG+50IS69PyT1QA== 0000950144-02-006403.txt : 20020611 0000950144-02-006403.hdr.sgml : 20020611 20020610170430 ACCESSION NUMBER: 0000950144-02-006403 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020605 FILED AS OF DATE: 20020610 COMPANY DATA: COMPANY CONFORMED NAME: WALL HOWARD T III CENTRAL INDEX KEY: 0001057317 OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 109 WESTPARK DR STREET 2: STE 180 CITY: BRENTWOOD STATE: TN ZIP: 37027 MAIL ADDRESS: STREET 1: 109 WESTPARK DR STREET 2: STE 180 CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: WALL HOWARD I III DATE OF NAME CHANGE: 19980309 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROVINCE HEALTHCARE CO CENTRAL INDEX KEY: 0001044942 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 621710772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 02675469 BUSINESS ADDRESS: STREET 1: 105 WESTPARK DR STREET 2: STE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6153701377 MAIL ADDRESS: STREET 1: 105 WESTPARK DR STREET 2: SUITE 180 CITY: BRENTWOOD STATE: TN ZIP: 37207 4 1 g76785ee4.htm PROVINCE HEALTHCARE COMPANY/HOWARD WALL III e4
 

FORM 4

U.S. SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549
         
o Check this box if no
longer subject to
Section 16. Form 4
or Form 5 obligations
may continue.
See
Instruction 1(b).
(Print or Type Responses)
  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*
 
Wall, III      Howard     T.
  2. Issuer Name and Ticker or Trading Symbol
 
Province Healthcare Company (PRHC; PRV effective 6/5/02)
  6. Relationship of Reporting Person to Issuer (Check all applicable)
 
(Last)         (First)          (Middle)
 
 
 
 
 
 
105 Westwood Place, Suite 400
  3. IRS Identification Number of Reporting Person, if an Entity
 
(Voluntary)
 
  4. Statement For Month/Year
 
5/2002
   o  Director   
  x Officer (give title below)
 
Senior Vice President, General Counsel and Secretary
  o 10% Owner
o  Other (Specify
below)
 
                            (Street)
 
 
 
Brentwood,      TN       37027
      5. If Amendment,
Date of Original
(Month/Year)
 
  7. Individual or Joint/Group Filing
(Check applicable line)
 
x Form Filed by One Reporting Person
o Form Filed by More Than One Reporting Person
(City)             (State)             (Zip)                    
 
Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned    
                                     
1. Title of Security
(Instr. 3)
  2. Transaction
Date
(Month/ Day/
Year)
  3.  Transaction Code
(Instr. 8)
  4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)   5. Amount of
Securities
Beneficially Owned
at End of Month
(Instr. 3 and 4)
  6. Ownership
Form:
Direct (D)
or
Indirect  (I)
(Instr.  4)
  7. Nature
of Indirect
Beneficial
Ownership
(Instr.  4)
        Code   V   Amount   (A) or
(D)
  Price            
Common Stock   5/1/02   M       7,798   A   $7.111 per share   7,653 (See Note 1)   D    
Common Stock   5/1/02   M       7,155   A   $6.722 per share   7,653   D    
Common Stock   See Note 2   M       15,000   A   $8.945 per share   7,653   D    
Common Stock   5/1/02   S       14,953   D   See Note 3   7,653   D    
Common Stock   5/6/02   S       1,000   D   $25.000 per share   7,653   D    
Common Stock   5/7/02   S       14,000   D   $25.000 per share   7,653   D    
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).

         
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SEC 1474 (3-99)


 

FORM 4 (continued)
Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., Puts, Calls, Warrants, Options, Convertible Securities)
                                                         
 1. Title of
Derivative
Security
(Instr. 3)
 
 2. Conversion
or Exercise
Price of
Derivative
Security
 
 3. Transac-
tion Date (Month/ Day/Year)
 
 4. Transac-
tion Code
(Instr. 8)
 
 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)
 
 6. Date Exercisable and Expiration Date (Month/Day/
Year)
 
 7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
 
 8. Price
of Derivative Security
(Instr. 5)
 
 9. Number
of Derivative Securities Beneficially Owned at End of Month
(Instr. 4)
 
 10.  Owner-
ship Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
 
 11. Nature of
Indirect
Beneficial
Ownership
(Instr. 4)
            Code   V   (A)   (D)   Date
Exercis-
able
  Expira-
tion
Date
 
Title
  Amount or
Number of
Shares
               
Employee Stock Options   $7.111   5/1/02   M           7,798   9/29/01   2/10/08   Common Stock   7,798       21,297 (See Note 1)        
Employee Stock Options   $6.722   5/1/02   M           7,155   2/25/02   2/25/09   Common Stock   7,155       14,310 (See Note 1)        
Employee Stock Options   $8.945   See Note 2   M         15,000   3/1/00   3/1/10   Common Stock   15,000       25,642 (See Note 1)        
Employee Stock Options   $21.08   3/13/02   A   V   15,883       3/13/02   3/13/12   Common Stock   15,883       15,883        
Employee Stock Options   $23.50   5/22/02   A   V   47,650       5/22/02   5/22/12   Common Stock   47,650       47,650        
Explanation of Responses:
 
Note 1: The number of securities and derivative securities beneficially owned at the end of the month has been adjusted to reflect a 3-for-2 stock split on April 30, 2002.
Note 2: 1,000 options were exercised on 5/16/02; 14,000 options were exercised on 5/7/02.
Note 3: 3,953 shares were sold at $25.650 per share; the remaining 11,000 shares were sold at $25.670 per share.

         
    /s/ Howard T. Wall   6/10/02
   
 
    **Signature of Reporting Person   Date
 
** 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 is insufficient, see Instruction 6 for procedure.

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SEC 1474 (3-99)
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