-----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, LREMMNUq9txHDmTLR5Kp4qE++IGPkv/MdD+YZzoCBnA8CGL8bElcTAmN2zcHkvOX 3BgWYw8xsTvRQVfrH3Tvkg== 0001209191-04-001697.txt : 20040106 0001209191-04-001697.hdr.sgml : 20040106 20040106173236 ACCESSION NUMBER: 0001209191-04-001697 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040101 FILED AS OF DATE: 20040106 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PANTOJA ROBERTO G CENTRAL INDEX KEY: 0001189150 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 04511116 BUSINESS ADDRESS: STREET 1: 103 POWELL COURT SUITE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6153728500 MAIL ADDRESS: STREET 1: 103 POWELL COURT SUITE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 3 1 bna86589_bna02pantoja.xml MAIN DOCUMENT DESCRIPTION X0201 32004-01-0100001044942PROVINCE HEALTHCARE CO PRV0001189150PANTOJA ROBERTO G103 POWELL COURT SUITE 200BRENTWOODTN370270100ControllerStock Options7.712004-03-112013-03-11Common Stock7000D1400 shares are exercisable on each of 3/11/04, 3/11/05, 3/11/06, 3/11/07 and 3/11/08./s/ Roberto G. Pantoja2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----