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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Unit (3) | $ 0 | 02/17/2009 | A | 27,194 | (4) | (4) | Common Stock | 27,194 | $ 0 | 41,698 | D | ||||
Stock Option (Right to Buy) | $ 11.29 (5) | 02/17/2009 | M(2) | 12,500 (2) | 01/01/2004(6) | 12/31/2013(6) | Common Stock | 12,500 | $ 0 | 31,553 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BORNE WILLIAM F 5959 S. SHERWOOD FOREST BLVD. BATON ROUGE, LA 70816 |
X | CEO |
/s/ Celeste R. Peiffer on behalf of William F. Borne pursuant to a Power of Attorney | 02/18/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Includes 91 shares acquired under Amedisys, Inc.'s Employee Stock Purchase Plan since the date of the reporting person's last ownership report. |
(2) | The option exercises and related stock sales reported on this Form 4 were effected pursuant to a 10b5-1 trading plan previously adopted by the reporting person. |
(3) | Each Restricted Stock Unit represents a contingent right to receive one share of Amedisys, Inc. common stock. |
(4) | The Restricted Stock Units vest in three equal installments on April 1, 2009, April 1, 2010 and April 1, 2011. The shares of common stock underlying the vested Restricted Stock Units will be delivered to the reporting person on April 1, 2013. |
(5) | This option was previously reported as covering a total 41,165 shares at an exercise price of $15.05 per share, but was adjusted to 54,887 shares at an exercise price of $11.29 per share as a result of the 4-for-3 stock split of Amedisys, Inc.'s common stock that occured on December 4, 2006. All ownership totals are reported on a split-adjusted basis. |
(6) | Exercisable in equal, one-third increments on January 1, 2004, 2005 and 2006. |