-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KAHfo2F9Hr5W52oNBB6A/Wg/F8jLOq0G78d9YNl9DN/AYIdUSZ+NsvqewgmU9bDq 2KOdWnAx/tdINiNvsjcodw== 0001025894-02-000715.txt : 20021023 0001025894-02-000715.hdr.sgml : 20021023 20021023151313 ACCESSION NUMBER: 0001025894-02-000715 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021021 FILED AS OF DATE: 20021023 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: NIERENBERG DAVID CENTRAL INDEX KEY: 0001040899 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 19605 N E 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMEDISYS INC CENTRAL INDEX KEY: 0000896262 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 113131700 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24260 FILM NUMBER: 02796112 BUSINESS ADDRESS: STREET 1: 11100 MEAD ROAD STE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 BUSINESS PHONE: 2252922031 MAIL ADDRESS: STREET 1: 11100 MEAD ROAD STE 300 CITY: BATON ROUGE STATE: LA ZIP: 70816 FORMER COMPANY: FORMER CONFORMED NAME: M&N CAPITAL CORP DATE OF NAME CHANGE: 19930125 FORMER COMPANY: FORMER CONFORMED NAME: ANALYTICAL NURSING MANAGEMENT CORP DATE OF NAME CHANGE: 19940819 3 1 dn_amf321022.txt FORM 3 FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person David Nierenberg The D3 Family Fund 19605 NE 8th St. Camas, WA 98607 2. Date of Event Requiring Statement (Month/Day/Year) 10/21/2002 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) N/A 4. Issuer Name and Ticker or Trading Symbol Amedisys, Inc. (AMED) 5. Relationship of Reporting Person(s) to Issuer (Check All Applicable) / / Director / / Officer (give title below) /X/ 10% Owner / / Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) N/A 7. Individual or Joint/Group Filing (Check Applicable Line) / / Form filed by One Reporting Person /X/ Form filed by More than One Reporting Person See next page for list of reporting persons FORM 3 (CONTINUED) List of persons reporting: David Nierenberg The D3 Family Fund 19605 NE 8th St. Camas, WA 98607 Haredale, Ltd. Olivier Roux James Henry Hildebrandt Toxford Corporation Henry Hooper Florence Cies The David and Patricia Nierenberg 1993 Irrevocable Trust Lawrence K. Orr Trustee, June 11, 1993 FORM 3 (CONTINUED)
Table 1 -- Non-Derivative Securities Beneficially Owned - -------------------------------- --------------------------------- ------------------------------- --------------------------- 1. Title of Security (Instr. 4) 2. Amount of Securities 3. Ownership Form: Direct 4. Nature of Indirect Beneficially Owned (Instr. 4) (D) or Indirect (I) Beneficial Ownership (Instr. 5) (Instr. 5) - -------------------------------- --------------------------------- ------------------------------- --------------------------- Common shares 912,000 D Common shares 24,500 I By Haredale, Ltd. Common shares 10,000 I By Olivier Roux Common shares 7,000 I By James Henry Hildebrandt Common shares 4,000 I By Toxford Corporation Common shares 1,500 I By Henry Hooper Common shares 10,000 I By Florence Cies Common shares 10,000 I By The David and Patricia Nierenberg 1993 Irrevocable Trust, Lawrence K. Orr, Trustee, June 11, 1993 - -------------------------------- --------------------------------- ------------------------------- ---------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v).
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Converstion 5. Ownership 6. Nature of Security (Instr. 4) and Expiration Date Securities or Form of Indirect (Month/Day/Year) Underlying Exercise Derivative Beneficial Derivative Security Price of Security: Ownership (Instr. 4) Derivative Direct (D) (Instr. 5) Security or Indirect (I) (Instr. 5) ------------------------ ------------------------ Date Expiration Title Amount Exercisable Date or Number of Shares - ----------------------------- ------------ ----------- ------------- ---------- --------------- --------------- -------------- None - ----------------------------- ------------ ----------- ------------- ---------- --------------- --------------- --------------
Explanation of Reponses: N/A /s/ David Nierenberg 10/22/00 ------------------------------------- ---------- * Signature of Reporting Person Date David Nierenberg President Nierenberg Investment Management Company, Inc. The General Partner of The D3 Family Fund, L.P. -----END PRIVACY-ENHANCED MESSAGE-----