0000920527-12-000045.txt : 20120621 0000920527-12-000045.hdr.sgml : 20120621 20120621155916 ACCESSION NUMBER: 0000920527-12-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120620 FILED AS OF DATE: 20120621 DATE AS OF CHANGE: 20120621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLARNER DAVID D CENTRAL INDEX KEY: 0001238436 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 12919787 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: 0327 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 X0305 4 2012-06-20 0000920527 PSS WORLD MEDICAL INC PSSI 0001238436 KLARNER DAVID D 4345 SOUTHPOINT BLVD JACKSONVILLE FL 32216 0 1 0 0 S.V.P. and Treasurer Common Stock 2012-06-20 4 S 0 2016 20.7642 D 12277 D Common Stock 5968 I by 401(k) plan This transaction was executed in multiple trades at prices ranging from $20.73 to $20.80. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. 401(k) - PSS World Medical, Inc. 401(k) Savings Plan Shares were calculated by taking the balance of the Stock Fund on June 20, 2012 and dividing by the closing price on June 20, 2012. $124,033.21 / 20.78 = 5,968 shares. Mark Rotondaro, attorney-in-fact 2012-06-21