0001179022-15-000001.txt : 20150116
0001179022-15-000001.hdr.sgml : 20150116
20150116141507
ACCESSION NUMBER: 0001179022-15-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150114
FILED AS OF DATE: 20150116
DATE AS OF CHANGE: 20150116
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
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: 15532286
MAIL ADDRESS:
STREET 1: 3350 RIVERWOOD PARKWAY SUITE 1400
CITY: ATLANTA
STATE: GA
ZIP: 30339
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-01-14
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
2015-01-14
5
G
0
1460
0
D
65698
D
Common Stock
2015-01-14
5
G
0
1460
0
D
64238
D
Common Stock
2015-01-14
5
G
0
1460
0
D
62778
D
Common Stock
2015-01-14
5
G
0
1460
0
D
61318
D
Common Stock
1400
I
by spouse's trust
Common Stock
25
I
by spouse
David Brown, by power of attorney
2015-01-16