-----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, WE096KpoEnkbEIAw66UODf3xtNKXeysvxMSI5ZVn9SmtLQpKYT7Uh3weSxLc1cLJ RDzW0mF7WJ9TPgC62NKyGw== 0001179022-04-000216.txt : 20041108 0001179022-04-000216.hdr.sgml : 20041108 20041108154634 ACCESSION NUMBER: 0001179022-04-000216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041104 FILED AS OF DATE: 20041108 DATE AS OF CHANGE: 20041108 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 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: 041125741 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 X0202 4 2004-11-04 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001188218 POTAPCHUK JOHN R 3 HUNTINGTON QUADRANGLE 2S MELVILLE NY 11747 0 1 0 0 SVP, CFO, Treasurer, Secretary Common Stock 2004-11-04 4 M 0 6200 1.7438 A 24528.871 D Common Stock 2004-11-04 4 S 0 6200 16.80 D 18328.871 D Stock option (right to buy) 1.7438 2004-11-04 4 M 0 6200 0 D 2002-06-13 2010-03-15 Common stock 6200 19068 D Octavia N. Powers, by power of attorney 2004-11-08 -----END PRIVACY-ENHANCED MESSAGE-----