-----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, BSCg5UmKybAjnsxEruKWa+sAn6klU0m0OaoZXVykRgqRvRjzbGgPkx7MQwL9hyRI I/RfpB3y+QW5c8DJ25I7qg== 0001179022-09-000115.txt : 20091202 0001179022-09-000115.hdr.sgml : 20091202 20091202162042 ACCESSION NUMBER: 0001179022-09-000115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091201 FILED AS OF DATE: 20091202 DATE AS OF CHANGE: 20091202 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: 3350 RIVERWOOD PARKWAY STREET 2: SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709516450 MAIL ADDRESS: STREET 1: 3350 RIVERWOOD PARKWAY STREET 2: SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: OLSTEN HEALTH SERVICES HOLDING CORP DATE OF NAME CHANGE: 19991001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLSTEN STUART CENTRAL INDEX KEY: 0001186629 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 091217799 MAIL ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE STREET 2: SUITE 200S CITY: MELVILLE STATE: NY ZIP: 11747-8943 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2009-12-01 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001186629 OLSTEN STUART 67 I. U. WILLETS ROAD OLD WESTBURY NY 11568 1 0 0 0 Common stock units 0 2009-12-01 4 A 0 569 0 A Common stock 569 25483 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. James L. Thornton, by power of attorney 2009-12-02 -----END PRIVACY-ENHANCED MESSAGE-----