-----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, Bx66n23RmhUMJLLlFKdtYVtN/rLY2gOlwObSl+l7xHsv72zCsPd7HcrOQNjBdf/j eHcysOKju92fge+xMSbMlw== 0001040441-04-000112.txt : 20040712 0001040441-04-000112.hdr.sgml : 20040712 20040712093337 ACCESSION NUMBER: 0001040441-04-000112 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHRAM MARTHA J CENTRAL INDEX KEY: 0001296075 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 04909222 BUSINESS ADDRESS: BUSINESS PHONE: 479-201-2760 MAIL ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BEVERLY ENTERPRISES INC CENTRAL INDEX KEY: 0001040441 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 621691861 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 BUSINESS PHONE: 5014526712 MAIL ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 FORMER COMPANY: FORMER CONFORMED NAME: NEW BEVERLY HOLDINGS INC DATE OF NAME CHANGE: 19970604 3 1 edgardoc.xml PRIMARY DOCUMENT X0202 3 2004-07-01 0 0001040441 BEVERLY ENTERPRISES INC BEV 0001296075 SCHRAM MARTHA J ONE THOUSAND BEVERLY WAY FORT SMITH AR 72919 0 1 0 0 PRESIDENT - AEGIS THERAPIES $.10 Par Value Common Stock 26680 D $.10 Par Value Common Stock - ESPP 73.0381 D Incentive Stock Option (right to buy) 5.95 2012-02-13 $.10 Par Value Common Stock 13500 D Incentive Stock Option (right to buy) 7.35 2011-02-20 $.10 Par Value Common Stock 8500 D Restricted Stock issued and vests 1/3 per year commencing one year from the date of grant. The options are exercisable 25% per year beginning one year from the date of grant. By: MONA BRANNON For: MARTHA J SCHRAM 2004-07-07 -----END PRIVACY-ENHANCED MESSAGE-----