-----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, PNySAAbCAKyj4xZyaYisc2/+AF+EhX32lwLtQqJcb0MNuXCFon36mNOR4rYshiFI I9oWU3OebloNcuay75Mlwg== 0000920527-04-000073.txt : 20040913 0000920527-04-000073.hdr.sgml : 20040913 20040913141655 ACCESSION NUMBER: 0000920527-04-000073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040909 FILED AS OF DATE: 20040913 DATE AS OF CHANGE: 20040913 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NUTTER GARY J CENTRAL INDEX KEY: 0001273459 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 041027242 BUSINESS ADDRESS: STREET 1: PSS WORLDMEDICAL STREET 2: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: PSS WORLDMEDICAL STREET 2: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-09-09 0000920527 PSS WORLD MEDICAL INC PSSI 0001273459 NUTTER GARY J 24 EAGLE DRIVE BEDFORD NH 03110 0 1 0 0 President, GSMS Common Stock 2004-09-09 4 M 0 100 8.44 A 13203 D Common Stock 3 I by 401(k) Plan Non Qualified Stock Option (right to buy) 8.44 2004-09-09 4 M 0 100 0 D 2000-10-28 2004-10-28 Common Stock 100 0 D 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on 09/09/04 and dividing by the closing price on 09/09/04. $32.17 / 10.72 = 3 shares. The option became fully vested and exercisable on October 28, 2002. Mark Rotondaro, attorney-in-fact 2004-09-13 -----END PRIVACY-ENHANCED MESSAGE-----