-----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, F+20OBUmyYg4HuD6tOLjvBnFff1D8IvsZYv0lUzOIfzEd8HpiCqm+W/W6XwUjP7N D0uJ2ui1EB/6s/9wLXdINA== 0000920527-04-000081.txt : 20041105 0000920527-04-000081.hdr.sgml : 20041105 20041105161139 ACCESSION NUMBER: 0000920527-04-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041104 FILED AS OF DATE: 20041105 DATE AS OF CHANGE: 20041105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINER ROBERT C CENTRAL INDEX KEY: 0001284589 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 041122983 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-11-04 0000920527 PSS WORLD MEDICAL INC PSSI 0001284589 WEINER ROBERT C 132 BEACHSIDE DRIVE S. PONTE VEDRA BEACH FL 32082 0 1 0 0 V.P. Investor Relations Common Stock 2004-11-04 4 M 0 3333 7.40 A 5883 D Common Stock 2004-11-04 4 S 0 3333 11.7234 D 2550 D Common Stock 135 I by 401(k) Plan Non Qualified Stock Option (right to buy) 7.40 2004-11-04 4 M 0 3333 0 D 2003-08-21 2007-08-21 Common Stock 3333 6667 D 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on 11/04/04 and dividing by the closing price on 11/04/04. $1,594.53 / 11.81 = 135 shares. The option vests in three equal annual installments on August 21, 2003, August 21, 2004 and August 21, 2005. Mark Rotondaro, attorney-in-fact 2004-11-05 -----END PRIVACY-ENHANCED MESSAGE-----