-----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, R2wnVxiXPfWgefr4Z4wUVQ8qf2hkHcDy0fBwq/quf6mvbyGh8/XfUfNKIX+ogL87 w0LA6vE/3aOCfgRZAqPQTQ== 0001040441-04-000145.txt : 20040804 0001040441-04-000145.hdr.sgml : 20040804 20040804151029 ACCESSION NUMBER: 0001040441-04-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040520 FILED AS OF DATE: 20040804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SABEL IVAN R CENTRAL INDEX KEY: 0001217563 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 04951429 MAIL ADDRESS: STREET 1: TWO BETHESDA METRO CENTER SUITE 1200 CITY: BETHESDA STATE: MD ZIP: 20814 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-05-20 0 0001040441 BEVERLY ENTERPRISES INC BEV 0001217563 SABEL IVAN R ONE THOUSAND BEVERLY WAY FORT SMITH AR 72919 1 0 0 0 PHANTOM STOCK UNITS 2004-05-20 4 A 0 15385 0 A 2004-05-20 $.10 Par Value Common Stock 15385 17090.1405 D PHANTOM STOCK UNITS 2004-08-02 4 A 0 376.3871 A 2004-08-02 $.10 Par Value Common Stock 376.3871 18819.5049 D Annual Grant of Restricted Stock Units, the value of which was 100% deferred by the director. The deferred amount will be paid in shares of Beverly stock upon retirement from the Board or, if earlier, upon his/her death or disability These units of phantom stock have been granted under the Non-Employee Director Deferred Compensation Plan and are credited to a deferred share unit account each month, to be paid to the director, or, in the case of his/her death prior to retirement from the Board, his/her beneficiary(ies), in stock (or, with the Board's approval, in cash) upon his/her retirement from the Board, death or disability. Each Deferred Share Unit has a value equal to one share of common stock of Beverly. By: MONA BRANNON For: IVAN R SABEL 2004-08-04 -----END PRIVACY-ENHANCED MESSAGE-----