-----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, Lyxe1FsVMWeGBCrB3O3xXqj3O4UQlc0/TalP/yf8R+mm++ADv8yXKCdtwahwTucn V+mPW4terwgQrlKi8wP7uQ== 0000920527-04-000026.txt : 20040409 0000920527-04-000026.hdr.sgml : 20040409 20040409131032 ACCESSION NUMBER: 0000920527-04-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040408 FILED AS OF DATE: 20040409 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON CLARK A CENTRAL INDEX KEY: 0001183940 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 04726702 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD. CITY: JACKSONVILLE STATE: FL ZIP: 32216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PSS WORLD MEDICAL INC CENTRAL INDEX KEY: 0000920527 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 592280364 STATE OF INCORPORATION: FL FISCAL YEAR END: 0329 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD STREET 2: STE 250 CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD STREET 2: STE 250 CITY: JACKSONVILLE STATE: FL ZIP: 32216 FORMER COMPANY: FORMER CONFORMED NAME: PHYSICIAN SALES & SERVICE INC /FL/ DATE OF NAME CHANGE: 19940318 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-04-08 0000920527 PSS WORLD MEDICAL INC PSSI 0001183940 JOHNSON CLARK A 11148 TURTLE BEACH ROAD NORTH PALM BEACH FL 33408 1 0 0 0 Common Stock 2004-04-08 4 M 0 3076 6.59 A 66076 D Common Stock 2004-04-08 4 M 0 25035 6.78 A 91111 D Common Stock 2004-04-08 4 M 0 34267 2.59 A 125378 D Common Stock 2004-04-08 4 M 0 44444 4.06 A 169822 D Common Stock 2004-04-08 4 M 0 3000 7.44 A 172822 D Non Qualified Stock Option (right to buy) 6.59 2004-04-08 4 M 0 3076 0 D 2000-02-25 2010-02-25 Common Stock 3076 0 D Non Qualified Stock Option (right to buy) 6.78 2004-04-08 4 M 0 25035 0 D 2000-04-01 2010-04-01 Common Stock 25035 0 D Non Qualified Stock Option (right to buy) 2.59 2004-04-08 4 M 0 34267 0 D 2000-10-20 2010-10-20 Common Stock 34267 0 D Non Qualified Stock Option (right to buy) 4.06 2004-04-08 4 M 0 44444 0 D 2001-03-20 2011-03-20 Common Stock 44444 0 D Non Qualified Stock Option (right to buy) 7.44 2004-04-08 4 M 0 3000 0 D 2001-08-23 2011-08-23 Common Stock 3000 0 D The option was 100% vested and fully exercisable on the date of grant. Mark Rotondaro, attorney-in-fact 2004-04-09 -----END PRIVACY-ENHANCED MESSAGE-----