-----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, HTKquRw9YQ9PdJ5o3WprrO8RSyZCgmPmo8Ykv/CR2TBdvaRSQF5oG1VehK7ySlK0 m+XY3ThaHSlor5zmwHbYkg== 0001179022-04-000012.txt : 20040105 0001179022-04-000012.hdr.sgml : 20040105 20040105154204 ACCESSION NUMBER: 0001179022-04-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLECHSCHMIDT EDWARD A CENTRAL INDEX KEY: 0001186623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 04504675 BUSINESS ADDRESS: STREET 1: C/O GENTIVA HEALTH SERVICES INC STREET 2: 3 HUNTINGTON QUADRANGLE CITY: MELVILLE STATE: NY ZIP: 11733 BUSINESS PHONE: 4045274000 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 4 1 edgar.xml PRIMARY DOCUMENT X0201 42004-01-02 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001186623 BLECHSCHMIDT EDWARD A 1550 MT. PLEASANT ROAD VILLANOVA PA 19085 1000Common stock units02004-01-024A09020ACommon stock9023884DThe common stock units of Gentiva Health Services, Inc. are convertible to shares of common stock of Gentiva at a conversion ratio of one unit for one share of common stock.The common stock units are convertible upon the date of termination of service to the Issuer.Phillip A. Bradley, by power of attorney2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----