0001247524-15-000137.txt : 20150403
0001247524-15-000137.hdr.sgml : 20150403
20150403171417
ACCESSION NUMBER: 0001247524-15-000137
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150401
FILED AS OF DATE: 20150403
DATE AS OF CHANGE: 20150403
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgical Care Affiliates, Inc.
CENTRAL INDEX KEY: 0001411574
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 520 LAKE COOK ROAD
STREET 2: SUITE 250
CITY: DEERFIELD
STATE: IL
ZIP: 60015
BUSINESS PHONE: 847-236-0921
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD
STREET 2: SUITE 250
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER COMPANY:
FORMER CONFORMED NAME: ASC Acquisition LLC
DATE OF NAME CHANGE: 20070905
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mansukani Sharad
CENTRAL INDEX KEY: 0001402190
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36154
FILM NUMBER: 15751912
BUSINESS ADDRESS:
BUSINESS PHONE: (847) 236-0921
MAIL ADDRESS:
STREET 1: C/O SURGICAL CARE AFFILIATES, INC.
STREET 2: 520 LAKE COOK ROAD, SUITE 250
CITY: DEERFIELD
STATE: IL
ZIP: 60015
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-04-01
0001411574
Surgical Care Affiliates, Inc.
SCAI
0001402190
Mansukani Sharad
C/O SURGICAL CARE AFFILIATES, INC.,
520 LAKE COOK ROAD, SUITE 250
DEERFIELD
IL
60015
1
0
0
0
Common Stock
2015-04-01
4
M
0
70496
10.25
A
76868
D
Common Stock
2015-04-01
4
S
0
70496
32.0031
D
6372
D
Options to Purchase Common Stock
10.25
2015-04-01
4
M
0
70496
0
D
2015-06-24
Common Stock
70496
0
D
Options to Purchase Common Stock
12.10
2021-08-01
Common Stock
9921
9921
D
Includes 6,372 shares of Common Stock underlying Restricted Stock Units ("RSUs") of the issuer. All of the RSUs are subject to time-based vesting. As of April 1, 2015, 3,027 of the RSUs were vested, with the remaining RSUs vesting on the following schedule: 1,168 RSUs vesting on June 30, 2015, 1,009 RSUs vesting on July 1, 2015, and 1,168 RSUs vesting on June 30, 2016. Each vested RSU is settled on the earlier of the individual's termination of employment or a change in control.
The price of $32.003125 represents the public offering price of $33.25 per share of Common Stock less the underwriters' discount of $1.246875 per share of Common Stock.
The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2010 and became exercisable on September 16, 2013.
The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2012 and became exercisable on September 16, 2013.
/s/ Peter J. Clemens, IV, by power of attorney
2015-04-03