-----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, Fhk1v/Wf9tbMbQ2VoaRdj4xyoG/lHHnHUCnuGJ1E/KdKjh7Ugt3QM8e/oLRAjr2i OINcq9x474d0SQ82a1WrRw== 0001040441-04-000166.txt : 20040816 0001040441-04-000166.hdr.sgml : 20040816 20040816084748 ACCESSION NUMBER: 0001040441-04-000166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040812 FILED AS OF DATE: 20040816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHRAM MARTHA J CENTRAL INDEX KEY: 0001296075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 04976233 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-08-12 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 2004-08-12 4 S 0 5200 6.97 D 31346 D By: MONA BRANNON For: MARTHA J SCHRAM 2004-08-16 -----END PRIVACY-ENHANCED MESSAGE-----