-----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, KXfptHcdDxI2DHwcrWgo6ExGCMHT3HsP1nCjmTERSZ7FuTq/fVOt23a+mJoPkKFk DXQ0wPjU2lTdUd2Sfwpsmw== 0001200952-03-000726.txt : 20030826 0001200952-03-000726.hdr.sgml : 20030826 20030826170841 ACCESSION NUMBER: 0001200952-03-000726 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010825 FILED AS OF DATE: 20030826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NIERENBERG DAVID CENTRAL INDEX KEY: 0001040899 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23946 FILM NUMBER: 03867109 BUSINESS ADDRESS: STREET 1: 19605 N E 8TH STREET CITY: CAMAS STATE: WA ZIP: 98607 BUSINESS PHONE: 3606048600 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 b4286dn_ex.xml FORM 4 X0201 4 2001-08-25 0 0000893430 PEDIATRIC SERVICES OF AMERICA INC PSAI 0001040899 NIERENBERG DAVID 19605 N E 8TH STREET CAMAS WA 98607 0 0 1 0 Common stock 2003-08-25 4 J 0 57600 0 D 0 I See footnotes Common stock 2003-08-25 4 J 0 57600 0 A 1029330 D This transaction represents a change in the form of ownership of the issuer's securities by the reporting person and not an acquisition or sale of any shares of the issuer for value. The shares previously owned by Haredale Ltd., James H. Hildebrandt, Toxford Corporation, Bruno Tiphine, Rita and Bruno Tiphine, Karen and Olivier Roux of the issuer were transferred on August 25, 2003, into The D3 Offshore Fund, LP. These entities are now pro-rata limited partners in the fund. Represents the total shares beneficially owned by The D3 Family Funds. The D3 Offshore Fund, L.P. The reporting person indirectly controlled disposition of 57,600 shares through the entities listed in footnote 1. DAVID NIERENBERG 2003-08-26 -----END PRIVACY-ENHANCED MESSAGE-----