-----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, TGvWlsoz3kxwuaZ5laBN75AEz+wzYukt6DrfI1QxbbPincw4dGKlwIgIq35ry8cn cbIUObmQak2nawcBjKIoUw== 0001179022-05-000092.txt : 20050902 0001179022-05-000092.hdr.sgml : 20050902 20050902144535 ACCESSION NUMBER: 0001179022-05-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050901 FILED AS OF DATE: 20050902 DATE AS OF CHANGE: 20050902 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: TROUBH RAYMOND CENTRAL INDEX KEY: 0001186633 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 051067529 BUSINESS ADDRESS: STREET 1: C/O GENTIVA HEALTH SERVICES INC STREET 2: 3 HUNTINGTON QUADRANGLE CITY: MELVILLE STATE: NY ZIP: 11733 BUSINESS PHONE: 6315017000 MAIL ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE STREET 2: SUITE 200S CITY: MELVILLE STATE: NY ZIP: 11747-8943 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-09-01 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001186633 TROUBH RAYMOND 10 ROCKEFELLER PLAZA, ROOM 712 NEW YORK NY 10020 1 0 0 0 Common stock units 0 2005-09-01 4 A 0 519 0 A Common stock 519 11883 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. Stacey S. Ingram, by power of attorney 2005-09-02 -----END PRIVACY-ENHANCED MESSAGE-----