-----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, UjqtLLw5MkmOFMuzJmW6xxyQiOPhf/og0sBR192p7y0srbyInD3zpR8G5qFYjXK+ gDkWmCTLDGLC+b2S9oMDCw== 0001229802-05-000026.txt : 20051205 0001229802-05-000026.hdr.sgml : 20051205 20051205170446 ACCESSION NUMBER: 0001229802-05-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051201 FILED AS OF DATE: 20051205 DATE AS OF CHANGE: 20051205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHELTON JAMES D CENTRAL INDEX KEY: 0001188136 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14695 FILM NUMBER: 051244859 BUSINESS ADDRESS: STREET 1: 13455 NOEL ROAD #2000 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 9727012278 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRIAD HOSPITALS INC CENTRAL INDEX KEY: 0001074771 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752816101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5800 TENNYSON PARKWAY CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 9727892732 MAIL ADDRESS: STREET 1: 5800 TENNYSON PARKWAY CITY: PLANO STATE: TX ZIP: 75024 FORMER COMPANY: FORMER CONFORMED NAME: TRIAD HOSPITALS LLC DATE OF NAME CHANGE: 19981207 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-12-01 0001074771 TRIAD HOSPITALS INC TRI 0001188136 SHELTON JAMES D 5800 TENNYSON PARKWAY PLANO TX 75024 1 1 0 0 Chairman, President, CEO Common Stock 2005-12-01 4 M 0 10000 17.07 A 360740 D Common Stock 2005-12-01 4 S 0 100 42.58 D 360640 D Common Stock 2005-12-01 4 S 0 100 42.59 D 360540 D Common Stock 2005-12-01 4 S 0 300 42.60 D 360240 D Common Stock 2005-12-01 4 S 0 400 42.62 D 359840 D Common Stock 2005-12-01 4 S 0 100 42.63 D 359740 D Common Stock 2005-12-01 4 S 0 200 42.64 D 359540 D Common Stock 2005-12-01 4 S 0 500 42.65 D 359040 D Common Stock 2005-12-01 4 S 0 400 42.66 D 358640 D Common Stock 2005-12-01 4 S 0 600 42.67 D 358040 D Common Stock 2005-12-01 4 S 0 500 42.68 D 357540 D Common Stock 2005-12-01 4 S 0 400 42.69 D 357140 D Common Stock 2005-12-01 4 S 0 1000 42.70 D 356140 D Common Stock 2005-12-01 4 S 0 600 42.71 D 355540 D Common Stock 2005-12-01 4 S 0 300 42.72 D 355240 D Common Stock 2005-12-01 4 S 0 500 42.73 D 354740 D Common Stock 2005-12-01 4 S 0 200 42.74 D 354540 D Common Stock 2005-12-01 4 S 0 200 42.75 D 354340 D Common Stock 2005-12-01 4 S 0 200 42.76 D 354140 D Common Stock 2005-12-01 4 S 0 100 42.77 D 354040 D Common Stock 2005-12-01 4 S 0 200 42.79 D 353840 D Common Stock 2005-12-01 4 S 0 100 42.80 D 353740 D Common Stock 2005-12-01 4 S 0 100 42.81 D 353640 D Common Stock 2005-12-01 4 S 0 100 42.82 D 353540 D Common Stock 2005-12-01 4 S 0 200 42.83 D 353340 D Common Stock 2005-12-01 4 S 0 100 42.85 D 353240 D Common Stock 2005-12-01 4 S 0 400 42.86 D 352840 D Common Stock 2005-12-01 4 S 0 100 42.87 D 352740 D Common Stock 2005-12-01 4 S 0 200 42.88 D 352540 D Common Stock 2005-12-01 4 S 0 100 42.89 D 352440 D Non-Qualified Stock Option (right to buy) 17.07 2005-12-01 4 M 0 10000 0 D 2001-04-27 2010-04-28 Common Stock 10000 96909 D Sale pursuant to 10b5-1 trading plan This Form 4 is the first of two being filed to report the Reporting Person's transactions on 12/01/2005. The remainder of the transactions, as well as the Reporting Person's other common stock holdings, are reported on the second of two Forms 4. Rebecca Hurley, as attorney-in-fact for James D. Shelton 2005-12-05 EX-24 2 sec16poa_shelton.txt Exhibit 24 POWER OF ATTORNEY Know all by these present, that the undersigned hereby constitutes and appoints Rebecca Hurley signing singly, the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Triad Hospitals, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in- fact's discretion. The undersigned hereby grants to each such attorney-in- fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney- in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys- in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 15th day of August, 2005. /s/ James D. Shelton _________________________________ Chairman, President and CEO Plano, Texas On this 15th day of August, 2005, James D. Shelton known personally to me, personally appeared and acknowledged that he executed the foregoing instrument for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. /s/ Cindy J. Jarrell _____________________________ Notary Public, State of Texas Commission Expires: May 4, 2006 -----END PRIVACY-ENHANCED MESSAGE-----