-----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, R1uG8zhNlN04msunEUWTcNotqPnaslID5t/7ONareafRY4pbL6TdwiUBFGOtQn14 0TrxA/JlpdgUBP9rYQmFPg== 0001200952-02-000034.txt : 20021119 0001200952-02-000034.hdr.sgml : 20021119 20021119112754 ACCESSION NUMBER: 0001200952-02-000034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021115 FILED AS OF DATE: 20021119 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24260 FILM NUMBER: 02832393 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: NIERENBERG DAVID CENTRAL INDEX KEY: 0001040899 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 19605 N E 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 4 1 dn_am421119.txt AMED FORM 4 FORM 4 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) 11/15/2002 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 4 (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 Bruno Tiphine Rita & Bruno Tiphine Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instr. 3) Common Stock 2. Transaction Date(s) (Month/Day/Year) i. 11/15/02 3. Transaction Code (Instr. 8) i. P 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Date Amount(Shares) (A) or (D) Price per share --------- -------------- ---------- --------------- ix. 11/15/02 3,000 A 4.79 x. 11/15/02 5,000 A 4.79 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 1,014,500 (11.1%) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) i. D 939,500 by The D3 Family Fund, L.P. ii. I 24,500 by Haredale, Ltd. P.O. Box N-4465, Nassau, New Providence, The Bahamas. iii. I 10,000 by Olivier Roux Talisman Management Ltd.,37 Ixworth Place, London SW3, England. iv. I 7,000 by James Henry Hildebrandt c/o Bain & Company, Tenth Floor, One Pacific Place, 88 Queensway, Hong Kong. v. I 4,000 by Toxford Corporation P.O. Box 3048, St. Andrews House, Le Bordage, St. Peter Port, Guernsey, Channel Islands, British Isles. vi. I 10,000 by Florence Cies 3300 Narvaez, #26, San Jose, California 95136 vii. I 1,500 by Henry Hooper 4317 NE Wistaria Dr., Portland, OR 97213 viii. I 10,000 by The David and Patricia Nierenberg 1993 Irrevocable Trust Lawrence K. Orr, Trinity Ventures, 3000 Sand Hill Rd., Bldg. 4, Suite 160, Menlo Park, CA 94025. ix. I 3,000 by Bruno Tiphine 92 Fellows Rd., London NW3 3JG, England x. I 5,000 by Rita & Bruno Tiphine 92 Fellows Rd., London NW3 3JG, England 7. Nature of Indirect Beneficial Ownership (Instr. 4) Mr. Nierenberg has sole voting and dispositive power over the shares listed. Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) N/A 2. Conversion or Exercise Price of Derivative Security N/A 3. Transaction Date (Month/Day/Year) N/A 4. Transaction Code (Instr. 8) N/A 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) N/A 6. Date Exercisable and Expiration Date (Month/Day/Year) N/A 7. Title and Amount of Underlying Securities (Instr. 3 and 4) N/A 8. Price of Derivative Security (Instr. 5) N/A 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) N/A 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) N/A 11. Nature of Indirect Beneficial Ownership (Instr. 4) N/A Explanation of Responses: N/A /s/ DAVID NIERENBERG 11/18/02 ---------------------------------------- -------- ** Signature of Reporting Person Date **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential person(s) who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. -----END PRIVACY-ENHANCED MESSAGE-----