-----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, Mwhr5FXs+Pup2NoijkVDKh0llAd5BQEZUk8oilQkgwDbn+wnqp5vTDqMbhpQEYNC ymOQgpvT8d9zY9N+y4tGcA== 0001179022-04-000011.txt : 20040105 0001179022-04-000011.hdr.sgml : 20040105 20040105154019 ACCESSION NUMBER: 0001179022-04-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GENTIVA HEALTH SERVICES INC CENTRAL INDEX KEY: 0001096142 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 364335801 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE 2S CITY: MELVILLE STATE: NY ZIP: 11747-8943 BUSINESS PHONE: 6315017000 MAIL ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE 2S CITY: MELVILLE STATE: NY ZIP: 11747-8943 FORMER COMPANY: FORMER CONFORMED NAME: OLSTEN HEALTH SERVICES HOLDING CORP DATE OF NAME CHANGE: 19991001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTAPCHUK JOHN R CENTRAL INDEX KEY: 0001188218 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 04504647 BUSINESS ADDRESS: STREET 1: 12 VANCOUVER COURT CITY: ROCKVILLE CENTER STATE: NY ZIP: 11570 BUSINESS PHONE: 5167644683 MAIL ADDRESS: STREET 1: 12 VANCOUVER COURT CITY: ROCKVILLE CENTER STATE: NY ZIP: 11570 4 1 edgar.xml PRIMARY DOCUMENT X0201 42003-12-31 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001188218 POTAPCHUK JOHN R 3 HUNTINGTON QUADRANGLE 2S MELVILLE NY 11747 0100SVP, CFO, Treasurer, SecretaryStock Option (right to buy)12.872003-12-314A0600000A2013-12-31Common Stock6000060000DOptions vest 50% after two years, 75% after three years and 100% after four years.Phillip A. Bradley, by power of attorney2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----