0001179022-12-000005.txt : 20120224 0001179022-12-000005.hdr.sgml : 20120224 20120224094903 ACCESSION NUMBER: 0001179022-12-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120222 FILED AS OF DATE: 20120224 DATE AS OF CHANGE: 20120224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaner Jeff CENTRAL INDEX KEY: 0001520693 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 12635994 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 2012-02-22 0001096142 GENTIVA HEALTH SERVICES INC GTIV 0001520693 Shaner Jeff 3350 RIVERWOOD PKWY, SUITE 1400 ATLANTA GA 30339 0 1 0 0 SVP, Pres - Hospice Div. Common stock 2012-02-22 4 A 0 800 0 A 49155.38 D Common stock 2012-02-22 4 A 0 17800 0 A 66955.38 D On January 6, 2010, the reporting person was granted performance share units which are earned based on the Issuer's satisfaction of certain performance criteria for each of the 2010, 2011 and 2012 fiscal years. The performance criteria for 2011 were met, resulting in the reporting person earning performance share units as to the reported shares. Such shares are subject to forfeiture if the reporting person separates from service with the Issuer for any reason other than certain stated events prior to the end of fiscal year 2012. On January 5, 2011, the reporting person was granted performance share units which are earned based on the Issuer's satisfaction of certain performance criteria for the 2011 fiscal year. The performance criteria for 2011 were met, resulting in the reporting person earning performance share units as to the reported shares. Such shares are subject to forfeiture if the reporting person separates from service with the Issuer for any reason other than certain stated events prior to the end of fiscal year 2013. David Brown, by power of attorney 2012-02-24