-----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, UYNeT+vGlCHc8+7jQ/j1uYeczCJrTh4mGhb7T0hRDhbjGUSNZ7MftBucr5XpgiRo cQAsygBbxsJvOUkpBx5kKg== 0001179022-05-000175.txt : 20051201 0001179022-05-000175.hdr.sgml : 20051201 20051201160257 ACCESSION NUMBER: 0001179022-05-000175 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051201 FILED AS OF DATE: 20051201 DATE AS OF CHANGE: 20051201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MUNDINGER MARY ONEIL CENTRAL INDEX KEY: 0001179980 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 051237807 MAIL ADDRESS: STREET 1: 617 W 168TH ST STREET 2: ROOM 139 C/O COLUMBIA UNIV OF NURSING CITY: NEW YORK STATE: NY ZIP: 10032 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 2005-12-01 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001179980 MUNDINGER MARY ONEIL 630 WEST 168TH STREET M/B 6 NEW YORK NY 10032 1 0 0 0 Common stock units 0 2005-12-01 4 A 0 608 0 A Common stock 608 4506 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 2005-12-01 -----END PRIVACY-ENHANCED MESSAGE-----