0000920527-13-000017.txt : 20130226 0000920527-13-000017.hdr.sgml : 20130226 20130226101814 ACCESSION NUMBER: 0000920527-13-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130222 FILED AS OF DATE: 20130226 DATE AS OF CHANGE: 20130226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeRienzis Joshua H CENTRAL INDEX KEY: 0001445552 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23832 FILM NUMBER: 13641264 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: 0330 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 X0306 4 2013-02-22 1 0000920527 PSS WORLD MEDICAL INC PSSI 0001445552 DeRienzis Joshua H 4345 SOUTHPOINT BLVD JACKSONVILLE FL 32216 0 1 0 0 VP General Coun. & Corp. Sec. Common Stock 2013-02-22 4 D 0 11202 29.00 D 0 D Common Stock 2013-02-22 4 D 0 1205 29.00 D 0 I by 401(k) plan Performance-Accelerated Restricted Stock Units 2013-02-22 4 D 0 3372 0 D 2013-02-22 2013-02-22 Common Stock 3372 0 D Performance-Accelerated Restricted Stock Units 2013-02-22 4 D 0 2748 0 D 2013-02-22 2013-02-22 Common Stock 2748 0 D Performance-Accelerated Restricted Stock Units 2013-02-22 4 D 0 3689 0 D 2013-02-22 2013-02-22 Common Stock 3689 0 D Disposed of pursuant to merger agreement for $29 per share on the effective date of the merger. Disposed of pursuant to merger agreement for $29 per unit on the effective date of the merger. Mark Rotondaro, attorney-in-fact 2013-02-26