-----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, Jk2KrdEg86Hxo5QsU6fLvHTyiV9yEi7BKeyLoufAHFEPyv8tZCm0GWnvYm8QVnPP liePleZ5AZiCF307UXpUiw== 0001040441-05-000108.txt : 20050405 0001040441-05-000108.hdr.sgml : 20050405 20050405163552 ACCESSION NUMBER: 0001040441-05-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050401 FILED AS OF DATE: 20050405 DATE AS OF CHANGE: 20050405 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: DEVEREAUX DAVID R CENTRAL INDEX KEY: 0001190362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 05734468 BUSINESS ADDRESS: BUSINESS PHONE: 479-201-2000 MAIL ADDRESS: STREET 1: ONE THOUSAND BEVERLY WAY CITY: FORT SMITH STATE: AR ZIP: 72919 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-04-01 0 0001040441 BEVERLY ENTERPRISES INC BEV 0001190362 DEVEREAUX DAVID R ONE THOUSAND BEVERLY WAY FORT SMITH AR 72919 0 1 0 0 EXECUTIVE VICE PRESIDENT $.10 Par Value Common Stock 2005-04-01 4 F 0 13937 12.34 D 262137 D $.10 Par Value Common Stock 2005-04-01 4 J 0 6933 D 255204 D Shares traded in payment of taxes associated with scheduled vesting of restricted shares. The reporting person transferred 6,933 shares of Beverly Enterprises, Inc. common stock to his ex-wife pursuant to a domestic relations order. By: Mona Brannon, by Power of Attorney For: David R. Devereaux 2005-04-05 -----END PRIVACY-ENHANCED MESSAGE-----