-----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, TmcFl6wNtHjdkMicfHudGjR5vlGR+ZmdFRR4RrKUQfEWYCNMksIKAYaLssRyeC/H YWW/P3Pl4eg3vCJi+WI5rA== 0001181431-04-047399.txt : 20041012 0001181431-04-047399.hdr.sgml : 20041012 20041012170531 ACCESSION NUMBER: 0001181431-04-047399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040929 FILED AS OF DATE: 20041012 DATE AS OF CHANGE: 20041012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WISSING EDWARD K CENTRAL INDEX KEY: 0001251792 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 041075422 MAIL ADDRESS: STREET 1: 2005 SUNSET HILLS TERRACE CITY: NASHVILLE STATE: TN ZIP: 37219 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 4 1 rrd54660.xml FORM 4 X0202 4 2004-09-29 0 0000893430 PEDIATRIC SERVICES OF AMERICA INC PSAI 0001251792 WISSING EDWARD K 310 TECHNOLOGY PARKWAY NORCROSS GA 30092 1 1 0 0 Interim CEO and President Stock Options 7.45 2004-09-29 4 A 0 100000 7.45 A 2005-08-09 2014-09-29 Common Stock 100000 145000 D James M. McNeill, Attorney-in-Fact for Edward K. Wissing 2004-10-12 -----END PRIVACY-ENHANCED MESSAGE-----