-----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, MAPX+CvYKmxTWRq7rq2zjWpWzIu4P96A+W2D0AEOYh0eEX9ZS1KEqMo1sU6+v5sh A8bysN+JX3+Rh55Tl4A74Q== 0001181431-04-048216.txt : 20041020 0001181431-04-048216.hdr.sgml : 20041020 20041020172806 ACCESSION NUMBER: 0001181431-04-048216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041018 FILED AS OF DATE: 20041020 DATE AS OF CHANGE: 20041020 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: PINKAS ROBERT P CENTRAL INDEX KEY: 0001008680 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 041088083 BUSINESS ADDRESS: STREET 1: 20600 CHAGRIN BLVD STREET 2: STE 1150 CITY: CLEVELAND STATE: OH ZIP: 44122 BUSINESS PHONE: 2162834800 MAIL ADDRESS: STREET 1: 3201 ENTERPRISE PARKWAY SUITE 350 CITY: BEACHWOOD STATE: OH ZIP: 44122 4 1 rrd55163.xml FORM 4 X0202 4 2004-10-18 0 0000893430 PEDIATRIC SERVICES OF AMERICA INC PSAI 0001008680 PINKAS ROBERT P 310 TECHNOLOGY PARKWAY NORCROSS GA 30092 1 0 0 0 Stock Options 8.31 2004-10-18 4 A 0 10000 8.31 A 2005-10-18 2014-10-18 Common Stock 10000 10000 D Stock Options Common Stock 61000 61000 D Exercisable on first anniversary date of grant. Reflects the aggregate number of stock options owned by the reporting person, issued under various terms and exercise prices. James M. McNeill, Attorney-in-Fact for Robert P. Pinkas 2004-10-20 -----END PRIVACY-ENHANCED MESSAGE-----