-----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, VUHeMdHZK7Fk45svqOafgDjUn/M6UWpTtq8alzh0kzjD2x8RjTC+FMnMKweXrodO v5++5xJ2QG9Lj8U/T03pYw== 0001209191-04-015682.txt : 20040312 0001209191-04-015682.hdr.sgml : 20040312 20040312205313 ACCESSION NUMBER: 0001209191-04-015682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040310 FILED AS OF DATE: 20040312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLOCK DAVID R CENTRAL INDEX KEY: 0001168210 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 04667513 BUSINESS ADDRESS: STREET 1: 105 WESTWOOD PL STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 MAIL ADDRESS: STREET 1: 105 WESTWOOD STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 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 4 1 bna87564_bna03dk.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-03-10 0 0001044942 PROVINCE HEALTHCARE CO PRV 0001168210 KLOCK DAVID R 105 WESTWOOD SUITE 400 BRENTWOOD TN 37027 1 0 0 0 Stock Options 15.75 2004-03-10 4 A 0 15000 0 A 2005-03-10 2014-03-10 Common Stock 15000 15000 D 3,000 options become exercisable on each of March 10, 2005, March 10, 2006, March 10, 2007, March 10, 2008 and March 10, 2009. /s/ David R. Klock 2004-03-11 -----END PRIVACY-ENHANCED MESSAGE-----