-----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, IqIGjdFVAKBqUt2AAalLMoKNb0Ph73B6SQyNY5zfSrk51kuJj5UWSUO2vfzf74ZE lEC6JriLsy/ePgCAOMECxA== 0001179022-10-000046.txt : 20100830 0001179022-10-000046.hdr.sgml : 20100830 20100830140841 ACCESSION NUMBER: 0001179022-10-000046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100826 FILED AS OF DATE: 20100830 DATE AS OF CHANGE: 20100830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Windley Rodney D CENTRAL INDEX KEY: 0001354351 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 101046318 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: 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 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2010-08-26 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001354351 Windley Rodney D 3350 RIVERWOOD PKWY, SUITE 1400 ATLANTA GA 30339 1 0 0 0 Common Stock 2010-08-26 4 J 0 175000 20.905 D 0 I by Rodney D. Windley 2009-1 GRAT UAD 3/27/09 Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 175000 20.905 A 265000 I by Rodney D. Windley Revocable Trust UAD 4/4/08, Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 102000 20.905 D 0 I by Rodney D. Windley 2009-2 GRAT UAD 3/27/09 Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 102000 20.905 A 367000 I by Rodney D. Windley Revocable Trust UAD 4/4/08, Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 141500 20.905 D 0 I by Rodney D. Windley 2009-3 GRAT UAD 3/27/09 Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 141500 20.905 A 508500 I by Rodney D. Windley Revocable Trust UAD 4/4/08, Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 141500 20.905 D 0 I by Rodney D. Windley 2009-4 GRAT UAD 3/27/09 Rodney D. Windley Trustee Common Stock 2010-08-26 4 J 0 141500 20.905 A 650000 I by Rodney D. Windley Revocable Trust UAD 4/4/08, Rodney D. Windley Trustee Common Stock 58763 D Common Stock 112804 I by trust Common Stock 85662 I by RT Management, LLC Reflects a transfer of shares from a GRAT, of which reporting person is the sole grantor, trustee and annuity beneficiary, to a revocable trust, of which the reporting person is sole beneficiary and trustee, in exchange for assets with a value equal to a per share value of $20.905. The amount owned includes a distribution of shares on May 21, 2010 pursuant to a required annual annuity payment by a GRAT, of which reporting person is the sole grantor, trustee and annuity beneficiary, to a revocable trust, of which the reporting person is sole beneficiary and trustee. Such distribution effected only a change in the form of beneficial ownership without changing the reporting person's pecuniary interest in the shares and as such was not required to be reported on Form 4. These shares are held indirectly through RT Management, LLC, of which Mr. Windley is a Manager and an owner. Tony Strange, President and Chief Executive Officer of Gentiva Health Services, Inc. ("Gentiva"), is also a Manager of and an owner of RT Management, LLC. Mr. Windley and Mr. Strange own approximately 25% and 75%, respectively, of the interests in the equity securities of Gentiva held by RT Management, LLC. Mr. Windley disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. David Brown, by power of attorney 2010-08-30 -----END PRIVACY-ENHANCED MESSAGE-----