-----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, SNd+uciQNs7bZEsFkd6EPjw2J0YZsjZnoUh9miPYrjN+oGqsnQzJIxr0Wd1zvlZY R2K4wUVjv2Fk0Wzz2GZL6g== 0001179022-06-000188.txt : 20061222 0001179022-06-000188.hdr.sgml : 20061222 20061222100346 ACCESSION NUMBER: 0001179022-06-000188 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061220 FILED AS OF DATE: 20061222 DATE AS OF CHANGE: 20061222 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: 061295165 BUSINESS ADDRESS: BUSINESS PHONE: 5167644683 MAIL ADDRESS: STREET 1: 12 VANCOUVER COURT CITY: ROCKVILLE CENTER STATE: NY ZIP: 11570 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: 0101 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 2006-12-20 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001188218 POTAPCHUK JOHN R 3 HUNTINGTON QUADRANGLE 200S MELVILLE NY 11747 0 1 0 0 EVP, CFO & Treasurer Common Stock 2006-12-20 4 M 0 4500 7.50 A 34870.389 D Stock option (right to buy) 7.50 2006-12-20 4 M 0 4500 0 D 2012-06-14 Common stock 4500 58500 D The options vested in three equal annual installments beginning on 6/14/2003. Octavia Powers Spencer, by power of attorney 2006-12-21 -----END PRIVACY-ENHANCED MESSAGE-----