-----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, OV5scp1ENlQepvoRIYHOAsoa4EHKpAJAISpLKJhVGNAtQS7nalOg5hMmTmCDPxKM 3Q1ILE5TW6c4csb4qd1OEw== 0000920527-09-000034.txt : 20090622 0000920527-09-000034.hdr.sgml : 20090622 20090622141651 ACCESSION NUMBER: 0000920527-09-000034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090619 FILED AS OF DATE: 20090622 DATE AS OF CHANGE: 20090622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH DAVID A CENTRAL INDEX KEY: 0001183759 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 09903053 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: 0327 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 X0303 4 2009-06-19 0000920527 PSS WORLD MEDICAL INC PSSI 0001183759 SMITH DAVID A 4345 SOUTHPOINT BLVD JACKSONVILLE FL 32216 0 1 0 0 Chairman and CEO Common Stock 2009-06-19 4 M 0 13813 10.62 A 318658 D Common Stock 2009-06-19 4 M 0 34051 8.688 A 352709 D Common Stock 2009-06-19 4 S 0 34330 18.00 D 318379 D Common Stock 20369 I by 401(k) plan Non Qualified Stock Option (right to buy) 10.62 2009-06-19 4 M 0 13813 0 D 2002-09-15 2009-09-15 Common Stock 13813 0 D Non Qualified Stock Option (right to buy) 8.688 2009-06-19 4 M 0 34051 0 D 1999-09-15 2009-09-15 Common Stock 34051 0 D The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 4, 2009. 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on June 19, 2009 and dividing by the closing price on June 19, 2009. $372,964.70 / 18.31 = 20,369 shares. The option became 20% exercisable on September 15, 2002, 40% exercisable on September 15, 2003, 60% exercisable on September 15, 2004, 100% exercisable on April 1, 2005. The option became 100% exercisable on the date of grant. Mark Rotondaro, attorney-in-fact 2009-06-22 -----END PRIVACY-ENHANCED MESSAGE-----