-----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, T6/xUHKE6RR9JBUGZgASYOPUKB+pQNHm4O5r/eoe2/yfB7R66iPq3f0j62nTtfAj 0Y4/HvlBvgjQXtQ/Ezazeg== 0001209191-04-016770.txt : 20040319 0001209191-04-016770.hdr.sgml : 20040319 20040319210108 ACCESSION NUMBER: 0001209191-04-016770 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040317 FILED AS OF DATE: 20040319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEMBERTON THOMAS PUAL II CENTRAL INDEX KEY: 0001221696 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 04681141 MAIL ADDRESS: STREET 1: 105 WESTWOOD PLACE 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_bna07tp.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-03-17 0 0001044942 PROVINCE HEALTHCARE CO PRV 0001221696 PEMBERTON THOMAS PUAL II 105 WESTWOOD PLACE BRENTWOOD TN 37027 0 1 0 0 Regional VP, Eastern Division Common Stock 2004-03-17 4 M 0 12000 7.71 A 12000 D Common Stock 2004-03-17 4 S 0 400 16.20 D 11600 D Common Stock 2004-03-17 4 S 0 11600 16.10 D 0 D Common Stock 2000 I Through IRA Stock Options 7.71 2004-03-17 4 M 0 12000 0 D 2004-03-11 2013-03-11 Common Stock 12000 48000 D /s/ Thomas Pemberton 2004-03-18 -----END PRIVACY-ENHANCED MESSAGE-----