-----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, Tq2hhcivHKGiy9M4efjdYTCB2wZaE7ALrAGeUpxKOuBGoX93sAcqoS7FYJOOhyU/ vrzsY3fuJfROz+dOJaSOPQ== 0000920527-05-000081.txt : 20051205 0000920527-05-000081.hdr.sgml : 20051205 20051205142127 ACCESSION NUMBER: 0000920527-05-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051201 FILED AS OF DATE: 20051205 DATE AS OF CHANGE: 20051205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANTHONY JEFFREY H CENTRAL INDEX KEY: 0001183722 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 051243682 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: 0331 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 2005-12-01 0000920527 PSS WORLD MEDICAL INC PSSI 0001183722 ANTHONY JEFFREY H 1240 SALT CREEK ISLAND DRIVE PONTE VEDRA BEACH FL 32082 0 1 0 0 Sr. V.P. Corporate Development Common Stock 2005-12-01 4 M 0 10000 6.01 A 24044 D Common Stock 2005-12-01 4 S 0 10000 16.43 D 14044 D Common Stock 13914 I by 401(k) Plan Non Qualified Stock Option (right to buy) 6.01 2005-12-01 4 M 0 10000 0 D 2002-07-25 2006-07-25 Common Stock 10000 10000 D 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on December 1, 2005 and dividing by the closing price on December 1, 2005. $229,729.60 / 16.51 = 13,914 shares. The option vested in three equal annual installments on July 25, 2002, July 25, 2003 and July 25, 2004. Mark Rotondaro, attorney-in-fact 2005-12-05 -----END PRIVACY-ENHANCED MESSAGE-----