-----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, JvatWOOh2FtV2S2NLFlQkmeEXuDmPgRkMwJ3S2c09QsUcQte0/y0uhb+xPCXkzGz RRTUP1NcschEswXELeeKlg== 0000920527-04-000003.txt : 20040106 0000920527-04-000003.hdr.sgml : 20040106 20040106132311 ACCESSION NUMBER: 0000920527-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON CLARK A CENTRAL INDEX KEY: 0001183940 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 04509104 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD. CITY: JACKSONVILLE STATE: FL ZIP: 32216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PSS WORLD MEDICAL INC CENTRAL INDEX KEY: 0000920527 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 592280364 STATE OF INCORPORATION: FL FISCAL YEAR END: 0329 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD STREET 2: STE 250 CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD STREET 2: STE 250 CITY: JACKSONVILLE STATE: FL ZIP: 32216 FORMER COMPANY: FORMER CONFORMED NAME: PHYSICIAN SALES & SERVICE INC /FL/ DATE OF NAME CHANGE: 19940318 4 1 edgar.xml PRIMARY DOCUMENT X0201 42004-01-02 0000920527 PSS WORLD MEDICAL INC PSSI 0001183940 JOHNSON CLARK A 11148 TURTLE BEACH ROAD NORTH PALM BEACH FL 33408 1000Non Qualifed Stock Option (right to buy)12.132004-01-024A0146570A2004-01-022014-01-02Common Stock1465714657DMark Rotondaro, attorney-in-fact2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----