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