-----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, PcTSeMUz4PZuuHApeZQOGjGEG9CkoLuw354aBqYXWJGtW39AMpMAKMdjfYJADMPh /XoV87OQAW8L5HAbrv18uA== 0001209191-05-017029.txt : 20050322 0001209191-05-017029.hdr.sgml : 20050322 20050322165021 ACCESSION NUMBER: 0001209191-05-017029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050321 FILED AS OF DATE: 20050322 DATE AS OF CHANGE: 20050322 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GEVITY HR INC CENTRAL INDEX KEY: 0001035185 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 650735612 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 600 301 BLVD W STREET 2: STE 202 CITY: BRADENTON STATE: FL ZIP: 34205 BUSINESS PHONE: 9417414300 MAIL ADDRESS: STREET 1: 600 301 BLVD W STREET 2: STE 202 CITY: BRADENTON STATE: FL ZIP: 34205 FORMER COMPANY: FORMER CONFORMED NAME: STAFF LEASING INC DATE OF NAME CHANGE: 19970306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KATZ DAVID S CENTRAL INDEX KEY: 0001248608 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22701 FILM NUMBER: 05697178 BUSINESS ADDRESS: STREET 1: 135 S LASALLE ST STE 3800 CITY: CHICAGO STATE: IL ZIP: 60603 BUSINESS PHONE: 3123680044 MAIL ADDRESS: STREET 1: 135 SOUTH LASALLE ST STE 3800 CITY: CHICAGO STATE: IL ZIP: 60603 4 1 c93522_03dsk.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-03-21 0001035185 GEVITY HR INC GVHR 0001248608 KATZ DAVID S C/O FRONTENAC COMPANY VIII, L.L.C. 135 SOUTH LASALLE STREET CHICAGO IL 60603 1 0 0 0 Common Stock, par value $.01 per share 2005-03-21 4 D 0 382906 17.5376 D 521203 I See footnote Common Stock, par value $.01 per share 2005-03-21 4 D 0 17094 17.5376 D 23249 I See footnote All of the securities of the Issuer are held by Frontenac VIII Limited Partnership ("Frontenac VIII"). Mr. Katz is a member of Frontenac Company VIII, L.L.C. ("Frontenac VIII LLC"), the general partner of Frontenac VIII Partners, L.P. ("Frontenac VIII LP"), which in turn is the general partner of Frontenac VIII. In such capacity, Mr. Katz has a pecuniary interest in such securities held by Frontenac VIII. Mr. Katz expressly disclaims beneficial ownership of any securities held by Frontenac VIII in which Mr. Katz does not have a pecuniary interest. The filing of this form shall not be deemed an admission that Mr. Katz is, for purposes of Section 16 or otherwise, the beneficial owner of such securities. All of the securities of the Issuer are held by Frontenac Masters VIII Limited Partnership ("Frontenac Masters VIII"). Mr. Katz is a member of Frontenac VIII LLC, the general partner of Frontenac VIII LP, which in turn is the general partner of Frontenac VIII. In such capacity, Mr. Katz has a pecuniary interest in such securities held by Frontenac Masters VIII. Mr. Katz expressly disclaims beneficial ownership of any securities held by Frontenac Masters VIII in which Mr. Katz does not have a pecuniary interest. The filing of this form shall not be deemed an admission that Mr. Katz is, for purposes of Section 16 or otherwise, the beneficial owner of such securities. /s/ Karen C. Fanelli, under Power of Attorney for David S. Katz 2005-03-22 -----END PRIVACY-ENHANCED MESSAGE-----