-----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, R5zh1FFAVGEUlMYm3MJ9olnj15/ObWdIu486hB/Wlc7tahJ7zXw7HC/nVLwlthnN QfbLRmf4k+78WChNjvxTJg== 0001233695-04-000001.txt : 20040213 0001233695-04-000001.hdr.sgml : 20040213 20040213171907 ACCESSION NUMBER: 0001233695-04-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CORAM HEALTHCARE CORP CENTRAL INDEX KEY: 0000924174 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 330615337 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1675 BROADWAY STREET 2: SUITE 900 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 3032924973 MAIL ADDRESS: STREET 1: 1675 BROADWAY STREET 2: SUITE 900 CITY: DENVER STATE: CO ZIP: 80202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMARAL DONALD J CENTRAL INDEX KEY: 0001233695 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11343 FILM NUMBER: 04600521 BUSINESS ADDRESS: STREET 1: 63 CONSTITUTION DR CITY: CHICO STATE: CA ZIP: 95973 BUSINESS PHONE: 5308980300 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000924174 CORAM HEALTHCARE CORP crh 0001233695 AMARAL DONALD J 1675 BROADWAY SUITE 900 DENVER CO 80202 1 0 0 0 Common Stock 124296 D Non-Qualified Stock Option (right to buy) 2.625 1998-05-16 2007-05-16 Common Stock 300000 300000 D Non-Qualified Stock Option (right to buy) 3.4 1996-10-12 2005-10-12 Common Stock 2200000 2200000 D Donald J. Amaral 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----