0001179022-11-000070.txt : 20111109 0001179022-11-000070.hdr.sgml : 20111109 20111109112135 ACCESSION NUMBER: 0001179022-11-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111107 FILED AS OF DATE: 20111109 DATE AS OF CHANGE: 20111109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forman Robert S Jr CENTRAL INDEX KEY: 0001470912 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 111190207 MAIL ADDRESS: STREET 1: 3350 RIVERWOOD PARKWAY SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 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: 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 X0304 4 2011-11-07 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001470912 Forman Robert S Jr 3350 RIVERWOOD PKWY, SUITE 1400 ATLANTA GA 30339 1 0 0 0 Common Stock 2011-11-07 4 P 0 22422 3.9468 A 22422 D Common Stock 2011-11-07 4 P 0 55000 3.98 A 77422 D Common Stock 2011-11-07 4 P 0 2500 3.9968 A 79922 D Common Stock 2011-11-07 4 P 0 1400 3.9929 A 1400 I by spouse's trust Common Stock 25 I by spouse The shares were purchased in multiple transactions at prices ranging from $3.887 to $3.97. This amount represents the weighted average purchase price of such transactions. The reporting person undertakes to provide full information regarding the number of shares purchased at each separate price upon request by the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer. The shares were purchased in multiple transactions at prices ranging from $3.98 to $4.00. This amount represents the weighted average purchase price of such transactions. The reporting person undertakes to provide full information regarding the number of shares purchased at each separate price upon request by the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer. The shares were purchased in multiple transactions at prices ranging from $3.98 to $4.03. This amount represents the weighted average purchase price of such transactions. The reporting person undertakes to provide full information regarding the number of shares purchased at each separate price upon request by the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer. David K. Brown, by power of attorney 2011-11-09