-----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, DGafUV+cadMmQuyec9s6dgMqQ7+V4W9dKJaRBZWEa6FU7mUxeuSmQ3YaDrFCfHcb 3pxYey4Php4NpnUzO0iGFw== 0001179022-07-000002.txt : 20070103 0001179022-07-000002.hdr.sgml : 20070101 20070103150649 ACCESSION NUMBER: 0001179022-07-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061229 FILED AS OF DATE: 20070103 DATE AS OF CHANGE: 20070103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Strange Tony CENTRAL INDEX KEY: 0001354350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 07503838 BUSINESS ADDRESS: BUSINESS PHONE: 631-501-7000 MAIL ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE 2S CITY: MELVILLE STATE: NY ZIP: 11747 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 2006-12-29 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001354350 Strange Tony 3 HUNTINGTON QUADRANGLE 200S MELVILLE NY 11747 0 1 0 0 EVP, Pres.-Gentiva Home Health Common Stock 2006-12-29 4 J 0 2510 16.16 D 214809 D Common Stock 2006-12-29 4 J 0 2361 16.16 D 91785 I by RT Management, LLC Forfeiture of shares, held in escrow, in satisfaction of claims arising under the Agreement and Plan of Merger dated as of January 4, 2006 entered into in connection with the acquisition of The Healthfield Group, Inc. by the Issuer. These shares are held indirectly through RT Management, LLC, of which Mr. Strange is a Manager and an owner. Rodney D. Windley, Vice Chairman of the Board of Directors of Gentiva Health Services, Inc. ("Gentiva"), is also a Manager of and an owner of RT Management, LLC. Mr. Strange and Mr. Windley own approximately 75% and 25%, respectively, of the interests in the equity securities of Gentiva held by RT Management, LLC. Mr. Strange disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Stacy S. Ingram, by power of attorney 2007-01-02 -----END PRIVACY-ENHANCED MESSAGE-----