-----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, NqOR8WDiiXPReBSOY08CxsV1VAnMvzwK2SyAZqJWXR5LiN5lQudpJZsOpDYVmgt5 3GjUM6vkPbKWqrIiEU2zNw== 0001040441-04-000195.txt : 20040924 0001040441-04-000195.hdr.sgml : 20040924 20040924102643 ACCESSION NUMBER: 0001040441-04-000195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040910 FILED AS OF DATE: 20040924 DATE AS OF CHANGE: 20040924 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERCADANTE BLAISE J CENTRAL INDEX KEY: 0001190367 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 041043976 BUSINESS ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 BUSINESS PHONE: 479-201-2000 MAIL ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-10 1 0001040441 BEVERLY ENTERPRISES INC BEV 0001190367 MERCADANTE BLAISE J ONE THOUSAND BEVERLY WAY FORT SMITH AR 72919 0 1 0 0 SENIOR VICE PRESIDENT BY: MONA BRANNON FOR: BLAISE J MERCADANTE 2004-09-24 -----END PRIVACY-ENHANCED MESSAGE-----