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