-----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, U3IY3Kv8usqcn6ALSr/v7DSwbIgpvDjzDauuaCyT2X/zvhwdP4wpqgWUyqUhPbfX RJjECm3kn2eomQTTzmgDhg== 0001179022-05-000094.txt : 20050902 0001179022-05-000094.hdr.sgml : 20050902 20050902144822 ACCESSION NUMBER: 0001179022-05-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050901 FILED AS OF DATE: 20050902 DATE AS OF CHANGE: 20050902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILENSKY GAIL R CENTRAL INDEX KEY: 0001018538 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 051067548 BUSINESS ADDRESS: STREET 1: C/O PROJECT HOPE STREET 2: 7500 OLD GEORGETOWN RD STE 600 CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 3016567401 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 2005-09-01 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001018538 WILENSKY GAIL R 7500 OLD GEORGETOWN ROAD SUITE 600 BETHESDA MD 20814 1 0 0 0 Common stock units 0 2005-09-01 4 A 0 519 0 A Common stock 519 3969 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 2005-09-02 -----END PRIVACY-ENHANCED MESSAGE-----