-----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, JJbHWJXpYKdjaZtSQ/pPLxaE6dClrgtko4bPrkkN41wUT5OTs79mJKcrJrjB47bq ands0SskNaQ4qY7TOBzFPw== 0000920527-04-000093.txt : 20041202 0000920527-04-000093.hdr.sgml : 20041202 20041202140316 ACCESSION NUMBER: 0000920527-04-000093 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041202 DATE AS OF CHANGE: 20041202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENNINGS MARY M CENTRAL INDEX KEY: 0001183758 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 041180027 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 X0202 4 2004-12-01 0000920527 PSS WORLD MEDICAL INC PSSI 0001183758 JENNINGS MARY M 12947 BIGGIN CHURCH ROAD S. JACKSONVILLE FL 32224 0 1 0 0 V.P. Compliance and Tax Common Stock 2004-12-01 4 M 0 8000 2.97 A 10792 D Common Stock 2004-12-01 4 S 0 8000 13.024 D 2792 D Common Stock 3160 I by 401(k) Plan Non Qualified Stock Option (right to buy) 2.97 2004-12-01 4 M 0 8000 0 D 2001-11-21 2005-11-21 Common Stock 8000 0 D 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on 12/01/04 and dividing by the closing price on 12/01/04. $41,207.75 / 13.04 = 3,160 shares. The option vested in three equal annual installments on November 21, 2001, November 21, 2002 and November 21, 2003. Mark Rotondaro, attorney-in-fact 2004-12-02 -----END PRIVACY-ENHANCED MESSAGE-----