-----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, BbLNAV6JIdb+lrOlwvP7lcbfnXc+9kwmjAFoJScJnxVOFobIn/S5LKDLZ8M48kkh SrRe06LyuNPEY2TgAZ2evQ== 0001005477-06-003421.txt : 20060710 0001005477-06-003421.hdr.sgml : 20060710 20060710152910 ACCESSION NUMBER: 0001005477-06-003421 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060630 FILED AS OF DATE: 20060710 DATE AS OF CHANGE: 20060710 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PEDIATRIC SERVICES OF AMERICA INC CENTRAL INDEX KEY: 0000893430 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 581873345 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 31O TECHNOLOGY PKWY CITY: NORCROSS STATE: GA ZIP: 30092-2929 BUSINESS PHONE: 7704411580 MAIL ADDRESS: STREET 1: 310 TECHNOLOGY PKWY CITY: NORCROSS STATE: GA ZIP: 30092-2929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D3 Family Bulldog Fund LP CENTRAL INDEX KEY: 0001365745 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953889 BUSINESS ADDRESS: STREET 1: 19605 NE 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 360-604-8600 MAIL ADDRESS: STREET 1: 19605 NE 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOOPER HENRY E CENTRAL INDEX KEY: 0001279086 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953890 BUSINESS ADDRESS: BUSINESS PHONE: 3606048600 MAIL ADDRESS: STREET 1: 19605 N.E. 8TH ST CITY: CAMAS STATE: WA ZIP: 98607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DENVER CARA CENTRAL INDEX KEY: 0001363570 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953891 BUSINESS ADDRESS: BUSINESS PHONE: 360-604-8600 MAIL ADDRESS: STREET 1: 19605 NE 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 FORMER NAME: FORMER CONFORMED NAME: Denver Cara DATE OF NAME CHANGE: 20060519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NIERENBERG DAVID CENTRAL INDEX KEY: 0001040899 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953892 BUSINESS ADDRESS: STREET 1: 19605 N E 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nierenberg Investment Management Offshore Inc CENTRAL INDEX KEY: 0001365764 STATE OF INCORPORATION: C5 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953893 BUSINESS ADDRESS: STREET 1: MONTAGUE STERLING CENTRE STREET 2: 3RD FLOOR CITY: NASSAU STATE: C5 ZIP: 00000 BUSINESS PHONE: 360-604-8600 MAIL ADDRESS: STREET 1: 19605 NE 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NIERENBERG INVESTMENT MANAGEMENT CO CENTRAL INDEX KEY: 0001282683 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953894 MAIL ADDRESS: STREET 1: 19605 NE 8TH ST CITY: CAMAS STATE: WA ZIP: 98607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D3 FAMILY RETIREMENT FUND LP CENTRAL INDEX KEY: 0001226843 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953896 BUSINESS ADDRESS: STREET 1: 19605 NE EIGHTH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D3 FAMILY FUND LP CENTRAL INDEX KEY: 0001282685 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953897 MAIL ADDRESS: STREET 1: 19605 NE 8TH ST CITY: CAMAS STATE: WA ZIP: 98607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D3 CHILDREN S FUND LP CENTRAL INDEX KEY: 0001226845 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953898 BUSINESS ADDRESS: STREET 1: 19605 NE EIGHTH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D3 OFFSHORE FUND LP CENTRAL INDEX KEY: 0001282684 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 06953895 MAIL ADDRESS: STREET 1: 19605 NE 8TH ST CITY: CAMAS STATE: WA ZIP: 98607 4/A 1 edgar123.xml AMENDMENT TO FORM 4 X0202 4/A 2006-06-30 2006-07-05 0 0000893430 PEDIATRIC SERVICES OF AMERICA INC PSAI 0001282683 NIERENBERG INVESTMENT MANAGEMENT CO 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001365764 Nierenberg Investment Management Offshore Inc 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001040899 NIERENBERG DAVID 19605 SE 8TH STREET CAMAS WA 98607 0 0 1 0 0001363570 DENVER CARA 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001279086 HOOPER HENRY E 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001365745 D3 Family Bulldog Fund LP 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001226845 D3 CHILDREN S FUND LP 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001282685 D3 FAMILY FUND LP 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001226843 D3 FAMILY RETIREMENT FUND LP 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 0001282684 D3 OFFSHORE FUND LP 19605 NE 8TH STREET CAMAS WA 98607 0 0 1 0 Common Stock 2006-06-30 4 J 0 76307 D 0 I By The D3 Children's Fund, L.P. Common Stock 2006-06-30 4 J 0 228799 D 0 I By The D3 Family Retirement Fund, L.P. Common Stock 2006-06-30 4 J 0 554389 D 148901 I By The D3 Family Fund, L.P. Common Stock 2006-06-30 4 J 0 153074 A 301974 I By The D3 Family Fund, L.P. Common Stock 2006-06-30 4 J 0 706422 A 841044 I By The D3 Family Bulldog Fund, L.P. Common Stock 310426 I By The DIII Offshore Fund, L.P. Pro rata distribution of issuer shares owned by limited partnership to its general and limited partners as part of consolidation of funds within fund family. These shares have previously been included in statements filed by David Nierenberg, President of Nierenberg Investment Management Company, Inc., the general partner of the limited partnership and by Nierenberg Investment Management Company, Inc. Pro rata receipt of issuer shares by limited partnership from its general and limited partners as part of consolidation of funds within fund family. These shares have previously been included in statements filed by David Nierenberg, President of Nierenberg Investment Management Company, Inc., the general partner of the limited partnership and by Nierenberg Investment Management Company, Inc. PLEASE NOTE: THIS FILING REPRESENTS THE REORGANIZATION OF THE D3 FUNDS ONLY. NO BUYING OR SELLING OF THE SHARES OF THE ISSUER ARE BEING REPORTED IN THIS FORM 4 FILING. As officers of Nierenberg Investment Management Company, Inc., the sole general partner of each of the limited partnerships, David Nierenberg, Henry Hooper and Cara Denver may be deemed to share voting and investment power over the issuer shares owned by the limited partnerships. Each officer is allocated by agreement a portion of the general partner's carried interest in each of the limited partnerships, and each officer beneficially owns limited partnerships interest in The D3 Family Fund, L.P. Each of the reporting persons disclaims beneficial ownership except to the extent of the reporting person's pecuniary interest. David Nierenberg, President, Nierenberg Investment Management Company, Inc. (NIMCO) 2006-07-10 David Nierenberg 2006-07-10 Henry Hooper 2006-07-10 Cara Denver 2006-07-10 David Nierenberg, President, NIMCO, General Partner of The D3 Family Bulldog Fund, L.P. 2006-07-10 David Nierenberg, President, Nierenberg Investment Management Offshore inc. (NIMO) 2006-07-10 David Nierenberg, President, NIMCO, General Partner of The D3 Family Fund, L.P. 2006-07-10 David Nierenberg, President, NIMCO, General Partner of The D3 Family Retirement Fund, L.P. 2006-07-10 David Nierenberg, President, NIMCO, General Partner of The D3 Children's Fund, L.P. 2006-07-10 David Nierenberg, President, NIMO, General Partner of The DIII Offshore Fund, L.P. 2006-07-10 -----END PRIVACY-ENHANCED MESSAGE-----