3/A 1 g79016ee3za.htm PROVINCE HEALTHCARE COMPANY/CHRISTOPHER T. HANNON e3za
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 3

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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(h) of the Investment Company Act of 1940


1. Name and Address of Reporting
Person*
2. Date of Event Requiring Statement
(Month/Day/Year)
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  Hannon, Christopher Taylor
(Last) (First) (Middle)
  10/23/02
 
 
 
     
  105 Westwood Place
Suite 400

(Street)
4. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s)
to Issuer
(Check All Applicable)
    Province Healthcare Company (PRV)
  o  Director o  10% Owner
      x  Officer (give title below)
    6. If Amendment, Date of Original
(Month/Day/Year)
  o  Other (specify below)
  Brentwood, TN 37027
(City)         (State)         (Zip)
  11/01/02
  Senior Vice President and Chief Financial Officer
      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

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 5(b)(v).


 


Table I — Non-Derivative Securities Beneficially Owned

1. Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)

  Common Stock     17,139     D  

           

           

           

           

           

           

           

           

           

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Table II — Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
Security

(Instr. 4)
2. Date Exercisable and
Expiration Date

(Month/Day/Year)
3. Title and Amount of Securities
Underlying Derivative Security

(Instr. 4)
4. Conversion or
Exercise Price
of Derivative
Security
5. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 5)
6. Nature of
Indirect
Beneficial
Ownership

(Instr. 5)

      Date
Exer-
cisable
Expi-
ration
Date
 
Title
Amount
or
Number
of Shares
           

  Stock Options   2/10/03 2/10/08   Common Stock 2,250 $7.111 per share   D  

  Stock Options   See Note 1 2/25/09   Common Stock 5,010 $6.722 per share   D  

  Stock Options   See Note 2 5/3/10   Common Stock 11,952 $11.500 per share   D  

  Stock Options   2/22/01 2/22/11   Common Stock 11,160 $16.709 per share   D  

  Stock Options   See Note 3 5/15/11   Common Stock 8,776 $16.400 per share   D  

  Stock Options   3/13/02 3/13/12   Common Stock 4,893 $21.080 per share   D  

  Stock Options   5/22/02 5/22/12   Common Stock 14,682 $23.500 per share   D  

  Stock Options   See Note 4 8/21/12   Common Stock 4,715 $18.200 per share   D  

         

         

Explanation of Responses:

Note 1:  2,505 options will become exercisable on each of 2/25/03 and 2/25/04.

Note 2:  2,390 options became exercisable on each of 5/3/01 and 5/03/02; 2,390 options will become exercisable on 5/3/03; and 2,391 options will become exercisable on each of 5/3/04 and 5/3/05.

Note 3:  1,755 options became exercisable on 5/15/02; 1,755 options will become exercisable on each of 5/15/03, 5/15/04 and 5/15/05; 1,756 options will become exercisable on 5/15/06.

Note 4:  943 options will become exercisable on each of 8/21/03, 8/21/04, 8/21/05, 8/21/06 and 8/21/07.

/s/ Chris Hannon   12/19/02

**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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