-----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, MCCHP5YXB4WHRBU6rA8jsNlOkfKEQYohYm52qGuLq+pAeTH2rsCabGkhVQL3kj0w 2DStB6dlsBf+isGJ+HjKmg== 0000920527-04-000086.txt : 20041117 0000920527-04-000086.hdr.sgml : 20041117 20041117082557 ACCESSION NUMBER: 0000920527-04-000086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041116 FILED AS OF DATE: 20041117 DATE AS OF CHANGE: 20041117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KESLER DELORES P CENTRAL INDEX KEY: 0000940671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 041150842 MAIL 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 X0202 4 2004-11-16 0000920527 PSS WORLD MEDICAL INC PSSI 0000940671 KESLER DELORES P 9700 PHILLIPS HIGHWAY # 101 JACKSONVILLE FL 32256 1 0 0 0 Common Stock 2004-11-16 4 M 0 4500 5.48 A 51500 D Common Stock 6440 I by Spouse Non Qualified Stock Option (right to buy) 5.48 2004-11-16 4 M 0 4500 0 D 1995-01-02 2005-01-02 Common Stock 4500 0 D The option becomes 100% exercisable on the date of grant, January 2, 1995. Mark Rotondaro, attorney-in-fact 2004-11-17 -----END PRIVACY-ENHANCED MESSAGE-----