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