-----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, WVuxogHRCeWwGLsF/3WeLFO2Wu/m1odDKpSt8Jcvdk/MJVqY9NXoAuKu3WD972GQ 2Ib5V1uoLWHVVQesP6jByg== 0001179022-04-000158.txt : 20040602 0001179022-04-000158.hdr.sgml : 20040602 20040602133351 ACCESSION NUMBER: 0001179022-04-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040601 FILED AS OF DATE: 20040602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVINE STUART CENTRAL INDEX KEY: 0001186624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 04843743 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-HOME HEALTH CARE SERVICES [8082] 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 X0202 4 2004-06-01 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001186624 LEVINE STUART 100 JERICHO QUADRANGLE SUITE 111 JERICHO NY 11753 1 0 0 0 Common stock units 0 2004-06-01 4 A 0 498 0 A Common stock 498 4324 D The 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. Stacy S. Ingram, by power of attorney 2004-06-02 -----END PRIVACY-ENHANCED MESSAGE-----