-----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, RhOwh5rSYCH1GDF8PS/xGOyvKdLi822oGM73SsCEx5zv+keqMn9J9HHmH+6yUVGl 2rjmJD5jVscrAsleKp+tVQ== 0001209191-05-008758.txt : 20050211 0001209191-05-008758.hdr.sgml : 20050211 20050211175408 ACCESSION NUMBER: 0001209191-05-008758 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050211 DATE AS OF CHANGE: 20050211 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: PEMBERTON THOMAS PUAL II CENTRAL INDEX KEY: 0001221696 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31320 FILM NUMBER: 05600626 MAIL ADDRESS: STREET 1: 105 WESTWOOD PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 5 1 bna93116_bna01tp.xml MAIN DOCUMENT DESCRIPTION X0202 5 2004-12-31 1 0 0001044942 PROVINCE HEALTHCARE CO PRV 0001221696 PEMBERTON THOMAS PUAL II 105 WESTWOOD PLACE BRENTWOOD TN 37027 0 1 0 0 Reg. VP, Eastern Div. Common Stock 1563 D Common Stock 3 2000 I Through IRA End of period holdings have been updated to include 1,563 shares of Common Stock acquired under the 1997 Employee Stock Purchase Plan. /s/ Tom Pemberton 2005-01-25 -----END PRIVACY-ENHANCED MESSAGE-----