-----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, AxHh8e+8DFVzVZmZyIKANHTcdcZD8/G+tSgQZRK9djskPSbN0HcfLXVk8xzx0fXF fPEHN4V4zrp3xncqKFcxxQ== 0001181431-05-060839.txt : 20051110 0001181431-05-060839.hdr.sgml : 20051110 20051110164058 ACCESSION NUMBER: 0001181431-05-060839 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051108 FILED AS OF DATE: 20051110 DATE AS OF CHANGE: 20051110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLEY SUSAN J CENTRAL INDEX KEY: 0001263262 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 051194453 BUSINESS ADDRESS: BUSINESS PHONE: 7704411580 MAIL ADDRESS: STREET 1: 310 TECHNOLOGY PARKWAY CITY: NORCROSS STATE: GA ZIP: 30092 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 rrd96778.xml FORM 4 X0202 4 2005-11-08 0 0000893430 PEDIATRIC SERVICES OF AMERICA INC PSAI 0001263262 KELLEY SUSAN J 310 TECHNOLOGY PARKWAY NORCROSS GA 30092 1 0 0 0 Stock Options 15.07 2005-11-08 4 A 0 6000 15.07 A 2006-11-08 2015-11-08 Common Stock 6000 6000 D Stock Options Common Stock 27000 27000 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 Susan J. Kelley 2005-11-09 -----END PRIVACY-ENHANCED MESSAGE-----