-----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, W0YTF/kwRtapn/B0IUqm3+xuwFPIBQhDM2mAzCJBimPu8fsx7qnk81EjdfqxHjif 5dNeob7dlUQpyWFgtmQtzw== 0000860730-05-000042.txt : 20050131 0000860730-05-000042.hdr.sgml : 20050131 20050131181752 ACCESSION NUMBER: 0000860730-05-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050127 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAVENNER MARILYN B CENTRAL INDEX KEY: 0001273528 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 05563288 MAIL ADDRESS: STREET 1: BOULDERS III STREET 2: 7800 BEAUFORT SPRING DR CITY: RICHMOND STATE: VA ZIP: 23235 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HCA INC/TN CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752497104 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE PARK PLZ CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 6153449551 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 FORMER COMPANY: FORMER CONFORMED NAME: HCA THE HEALTHCARE CO DATE OF NAME CHANGE: 20010419 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP DATE OF NAME CHANGE: 20000502 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP/ DATE OF NAME CHANGE: 19940314 4 1 tav824.xml X0202 4 2005-01-27 0 0000860730 HCA INC/TN (HCA) 0001273528 TAVENNER MARILYN B ONE PARK PLAZA NASHVILLE TN 37203 0 1 0 0 President-Outpatient Svcs Grp Common Stock 2005-01-27 4 A 0 15000 0 A 29604 D Common Stock 2005-01-29 4 F 0 1283 44.6200 D 28321 D Common Stock 2005-01-31 4 M 0 3750 35.6000 A 32071 D Common Stock 2005-01-31 4 M 0 17500 41.8400 A 49571 D Common Stock 2005-01-31 4 S 0 21250 45.0000 D 28321 D Non-Qualified Stock Option (right to buy) 44.7400 2005-01-27 4 A 0 15025 0 A 2015-01-27 Common Stock 15025 15025 D Non-Qualified Stock Option (right to buy) 35.6000 2005-01-31 4 M 0 3750 0 D 2011-03-22 Common Stock 3750 3750 D Non-Qualified Stock Option (right to buy) 41.8400 2005-01-31 4 M 0 17500 0 D 2012-01-24 Common Stock 17500 17500 D Restricted shares granted pursuant to the HCA 2000 Equity Incentive Plan which includes tax withholding rights. One-third of the restricted shares vest on each of January 27, 2008, January 27, 2009 and January 27, 2010. Transaction effected pursuant to a 10b5-1 Trading Plan adopted by the reporting person on December 13, 2004. Right to buy pursuant to the HCA 2000 Equity Incentive Plan which includes tax withholding rights. The options vest in four equal annual installments beginning on January 27, 2006. The option vests in four equal annual installments beginning on 3/22/02. The options vest in four equal annual installments beginning on 1/24/03. By: /s/ John M. Franck II, Attorney-in-Fact 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----