SEC Form 4 · accession 0001179022-15-000005
GENTIVA HEALTH SERVICES INC · GTIV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert S Forman Jr.
Director
Period of report
Jan 20, 2015
Accepted (ET)
Jan 22, 2015 · 12:58 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001096142
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 20, 2015 | G | 7,755 | $0.00 | D | 53,563 | D | |
| Common Stock | holding | — | — | — | 1,400 | I | by spouse's trust | |
| Common Stock | holding | — | — | — | 25 | I | by spouse |
Table II — derivative securities
No Table II lines on this filing.