0001181431-14-026981.txt : 20140717
0001181431-14-026981.hdr.sgml : 20140717
20140717182552
ACCESSION NUMBER: 0001181431-14-026981
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140716
FILED AS OF DATE: 20140717
DATE AS OF CHANGE: 20140717
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Envision Healthcare Holdings, Inc.
CENTRAL INDEX KEY: 0001578318
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 450832318
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6200 S. SYRACUSE WAY, SUITE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
BUSINESS PHONE: (303) 495-1200
MAIL ADDRESS:
STREET 1: 6200 S. SYRACUSE WAY, SUITE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Owen Randel G
CENTRAL INDEX KEY: 0001346846
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36048
FILM NUMBER: 14981315
MAIL ADDRESS:
STREET 1: C/O EMERGENCY MEDICAL SERVICES CORP
STREET 2: 6200 SOUTH SYRACUSE WAY
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
4
1
rrd413249.xml
FORM 4
X0306
4
2014-07-16
0
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001346846
Owen Randel G
6200 S. SYRACUSE WAY
STE 200
GREENWOOD VILLAGE
CO
80111
1
1
0
0
EVP, COO and CFO
Common Stock
2014-05-28
5
G
0
30000
0
D
577683
D
Common Stock
2014-07-16
4
M
0
174375
6.06
A
752058
D
Common Stock
2014-07-16
4
M
0
75000
3.69
A
827058
D
Common Stock
2014-07-16
4
S
0
249375
32.895
D
577683
D
Options (Rights to Buy)
6.06
2014-07-16
4
M
0
174375
0
D
2020-05-18
Common Stock
174375
0
D
Options (Rights to Buy)
3.69
2014-07-16
4
M
0
75000
0
D
2021-05-22
Common Stock
75000
1603352
D
This amount represents the public offering price per share of the Issuer's common stock of $34.00, less the underwriting discount of $1.105.
These options were originally granted on May 18, 2010 as options to purchase common stock of Envision Healthcare Corporation ("EVHC"), formerly known as Emergency Medical Services Corporation, and were scheduled to vest ratably on the first four anniversaries of the grant date. In connection with the merger of an indirect subsidiary of the Issuer with and into EVHC, with EVHC as the surviving corporation and an indirect wholly owned subsidiary of the Issuer, the options converted to fully vested options to purchase common stock of the Issuer pursuant to a rollover agreement between the reporting person and the Issuer.
These options were granted on May 25, 2011 and vest in five equal annual installments, with the first three installments having vested and the remaining installments scheduled to vest on each of December 31, 2014 and 2015, subject to continued employment.
/s/ Craig A. Wilson, Attorney-in-Fact for Randel G. Owen
2014-07-17