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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 | ||||||||
Employee Stock Option (Right to Buy) | $ 13.58 (1) | 11/01/2007 | M | 1,779 (1) | 02/26/2005(3) | 02/25/2014 | Common Stock | 1,779 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Schwartz Alice A 5959 S. SHERWOOD FOREST BLVD. BATON ROUGE, LA 70816 |
Chief Information Officer |
/s/ Alice Ann Schwartz | 11/02/2007 | |
**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) | This option was previously reported as covering 4,000 shares at an exercise price of $18.10 per share, but was adjusted to a total of 5,334 shares at an exercise price of $13.58 per share as a result of the 4-for-3 stock split of the issuer's stock that occured on December 4, 2006. |
(2) | Includes 49 shares acquired under Amedisys, Inc.'s 401(k) plan since the date of the reporting person's last ownership report. |
(3) | 33.3% exercisable on the date indicated, and 33.3% exercisable on each of the next two anniversaries thereof. |
(4) | On December 4, 2006, the common stock of Amedisys, Inc. split 4-for-3. Ownership totals are reflected on a split-adjusted basis. |
(5) | Includes 409 shares acquired under Amedisys, Inc.'s Employee Stock Purchase Plan by the reporting person since the date of the reporting person's last ownership report. |