SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SASEN JOHN F

(Last) (First) (Middle)
4345 SOUTHPOINT BLVD

(Street)
JACKSONVILLE FL 32216

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PSS WORLD MEDICAL INC [ PSSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
E.V.P. & Chief Mkt. Officer
3. Date of Earliest Transaction (Month/Day/Year)
07/02/2010
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 07/06/2010 M 40,494 A $5.46 177,816 D
Common Stock 07/06/2010 M 24,240 A $9.89 202,056 D
Common Stock 07/06/2010 M 6,137 A $6.96 208,193 D
Common Stock 07/02/2010 S(1) 17,431 D $21.0029(2) 190,762 D
Common Stock 07/06/2010 S(1) 92,140 D $21 98,622 D
Common Stock 5,902(3) I by 401(k) plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non Qualified Stock Option (right to buy) $5.46 07/06/2010 M 40,494 04/02/2002(4) 04/02/2011 Common Stock 40,494 $0 40,494 D
Non Qualified Stock Option (right to buy) $9.89 07/06/2010 M 24,240 07/01/2002(5) 07/01/2012 Common Stock 24,240 $0 24,240 D
Non Qualified Stock Option (right to buy) $6.96 07/06/2010 M 6,137 07/01/2003(6) 07/01/2013 Common Stock 6,137 $0 6,137 D
Explanation of Responses:
1. The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on June 2, 2010.
2. This transaction was executed in multiple trades at prices ranging from $21.00 to $21.0041. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
3. 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on July 2, 2010 and dividing by the closing price on July 2, 2010. $123,660.52 / 20.95 = 5,902 shares.
4. The option became 20% exercisable on April 2, 2002, 40% exercisable on April 2, 2003, 60% exercisable on April 2, 2004 and 100% exercisable on April 1, 2005.
5. The option became 20% exercisable on July 1, 2002, 40% exercisable on July 1, 2003, 60% exercisable on July 1, 2004 and 100% exercisable on April 1, 2005.
6. The option became 40% exercisable on July 1, 2003, 60% exercisable on July 1, 2004 and 100% exercisable on April 1, 2005.
Remarks:
Mark Rotondaro, attorney-in-fact 07/06/2010
** 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 4 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.