-----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, QKfOI/CbZoVU4dGs6vFdU63qQT67NNVvTHPgkicGx0VbXSa50SE3aorZouUsgkuM uGZ5ZR1A2h9yAlUI7mPdSQ== 0001014739-05-000070.txt : 20050611 0001014739-05-000070.hdr.sgml : 20050611 20050525141459 ACCESSION NUMBER: 0001014739-05-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050525 FILED AS OF DATE: 20050525 DATE AS OF CHANGE: 20050525 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BioScrip, Inc. CENTRAL INDEX KEY: 0001014739 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 050489664 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 CLEARBROOK ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 914 460 1600 MAIL ADDRESS: STREET 1: 100 CLEARBROOK ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 FORMER COMPANY: FORMER CONFORMED NAME: MIM CORP DATE OF NAME CHANGE: 19960516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CIRILLO RICHARD A CENTRAL INDEX KEY: 0001175835 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 05856460 BUSINESS ADDRESS: STREET 1: 246 EAST 33RD STREET STREET 2: APT 1F/R CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 2122520863 MAIL ADDRESS: STREET 1: 246 EAST 33RD STREET STREET 2: APT 1 F/R CITY: NEW YORK STATE: NY ZIP: 10016 4 1 cir97.xml X0202 4 2005-05-25 0 0001014739 BioScrip, Inc. BIOS 0001175835 CIRILLO RICHARD A 100 CLEARBROOK ROAD ELMSFORD NY 10523 1 0 0 0 Common Stock, $.0001 par value 1000 D Common Stock, $.0001 par value 100 I By Immediate Family Option to Purchase Common Stock 5.2900 2005-05-25 4 A 0 5000 0 A 2006-05-25 2015-05-25 Common Stock, $.0001 par value 5000 5000 D Option to Purchase Common Stock 4.3500 2008-04-16 Common Stock, $.0001 par value 20000 20000 D Option to Purchase Common Stock 9.9400 2003-06-04 2012-06-04 Common Stock, $.0001 par value 5000 5000 D Option to Purchase Common Stock 6.5800 2004-06-05 2013-06-05 Common Stock, $.0001 par value 5000 5000 D Option to Purchase Common Stock 7.6800 2005-05-25 2014-05-25 Common Stock, $.0001 par value 5000 5000 D Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. Fully Vested Vests and becomes exercisable in three equal annual installments commencing on May 25, 2005. /s/ Cirillo, Richard A. 2005-05-25 -----END PRIVACY-ENHANCED MESSAGE-----