SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
NUTTER GARY J

(Last) (First) (Middle)
24 EAGLE DRIVE

(Street)
BEDFORD NH 03110

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/11/2003
3. Issuer Name and Ticker or Trading Symbol
PSS WORLD MEDICAL INC [ PSSI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, GSMS
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 8,000 D
Common Stock(1) 3 I by 401(k) plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option 03/03/1997(2) 03/03/2007 Common Stock 10,500 $12.07 D
Incentive Stock Option 02/26/1998(2) 02/26/2008 Common Stock 12,250 $19.71 D
Non Qualified Stock Option (right to buy) 03/30/2000(2) 03/30/2004 Common Stock 1,000 $8.97 D
Non Qualified Stock Option (right to buy) 10/28/2000(2) 10/28/2004 Common Stock 100 $8.44 D
Non Qualified Stock Option (right to buy) 07/02/2005(4) 07/02/2011 Common Stock 2,330 $7.87 D
Non Qualified Stock Option (right to buy) 07/25/2002(3) 07/25/2006 Common Stock 5,000 $6.06 D
Non Qualified Stock Option (right to buy) 07/01/2005(5) 07/01/2012 Common Stock 3,200 $9.89 D
Non Qualified Stock Option (right to buy) 08/21/2003(3) 08/21/2007 Common Stock 10,000 $7.4 D
Non Qualified Stock Option (right to buy) 07/01/2005(6) 07/01/2013 Common Stock 1,839 $6.96 D
Non Qualified Stock Option (right to buy) 09/04/2004(3) 09/04/2008 Common Stock 15,000 $9.46 D
Explanation of Responses:
1. 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on 12/11/2003 and dividing by the closing price on 12/11/2003. $34.29 / 11.40 = 3 shares.
2. The option is fully vested and exercisable as of December 11, 2003.
3. The option becomes exercisable in three equal annual installments beginning on the first anniversary of the date of grant.
4. The option becomes exercisable in five equal annual installments beginning on the fourth anniversary of the date of grant.
5. The option becomes exercisable in five equal annual installments beginning on the third anniversary of the date of grant.
6. The option becomes exercisable in five equal annual installments beginning on the second anniversary of the date of grant.
Remarks:
Mark Rotondaro 12/19/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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