-----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, B+3iwm7+Db5lEhCmqJiIrQocLNu0u7iSXxhuk4M3Bc6wcobxP31AR9x08apKJG9i vQELL28rQk9/wprguTjAQA== 0000920527-04-000022.txt : 20040330 0000920527-04-000022.hdr.sgml : 20040330 20040330083419 ACCESSION NUMBER: 0000920527-04-000022 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040323 FILED AS OF DATE: 20040330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINER ROBERT C CENTRAL INDEX KEY: 0001284589 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 04698094 MAIL 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 3 1 edgar.xml PRIMARY DOCUMENT X0201 3 2004-03-23 0 0000920527 PSS WORLD MEDICAL INC PSSI 0001284589 WEINER ROBERT C 8161 PINE LAKE ROAD JACKSONVILLE FL 32256 0 1 0 0 V.P. Investor Relations Common Stock 91 I by 401(k) plan Non Qualified Stock Option (right to buy) 9.28 2002-11-12 2006-11-12 Common Stock 10000 D Non Qualified Stock Option (right to buy) 9.89 2005-07-01 2012-07-01 Common Stock 1383 D Non Qualified Stock Option (right to buy) 7.40 2003-08-21 2007-08-21 Common Stock 10000 D Non Qualified Stock Option (right to buy) 6.96 2005-07-01 2013-07-01 Common Stock 885 D Non Qualified Stock Option (right to buy) 9.46 2004-09-04 2008-09-04 Common Stock 10000 D 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on 03-23-2004 and dividing by the closing price on 03-23-2004. $1,046.37 / 11.47 = 91 shares. The option becomes exercisable in three equal annual installments beginning on the first anniversary of the date of grant. The option becomes exercisable in five equal annual installments beginning on the third anniversary of the date of grant. The option becomes exercisable in five equal annual installments beginning on the second anniversary of the date of grant. Mark Rotondaro, attorney-in-fact 2004-03-30 EX-24 3 attach_1.txt POWER OF ATTORNEY The undersigned hereby constitutes and appoints each of David Klarner, Lesli Schmachtenberger, and Mark Rotondaro, signing singly, the undersigned's true and lawful attorney-in-fact to: 1. execute for and on behalf of the undersigned, in the undersigned's capacity as an executive officer of PSS World Medical, Inc. (the "Company"), Forms 3, 4 and 5, and any amendments thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; 2. do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file any such form with the Securities and Exchange Commission and any stock exchange or similar authority; and 3. take any other action of any type whatsoever in connection with the foregoing which in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's sole discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers granted herein,as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers granted herein. The undersigned hereby grants to each such attorney-in-fact the right to appoint a substitute attorney-in-fact from time to time in such attorney-in-fact's sole discretion, which substitute shall be employed by PSS World Medical, Inc. The undersigned acknowledges that the foregoing attorneys-in-fact may rely entirely on information furnished orally or in writing by the undersigned, or a representative of the undersigned, to such attorney-in-fact. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 24th day of March, 2004. Signature: Robert C. Weiner -----END PRIVACY-ENHANCED MESSAGE-----