SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Sanger William A

(Last) (First) (Middle)
6200 S. SYRACUSE WAY
STE 200

(Street)
GREENWOOD VILLAGE CO 80111

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/13/2013
3. Issuer Name and Ticker or Trading Symbol
Envision Healthcare Holdings, Inc. [ EVHC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 537,846 I By Trust(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options (Rights to Buy) (2) 02/10/2015 Common Stock 1,143,900 $0.72 D
Options (Rights to Buy) (3) 03/12/2019 Common Stock 348,750 $3.19 D
Options (Rights to Buy) (4) 05/18/2020 Common Stock 418,500 $6.06 D
Options (Rights to Buy) (5) 05/22/2021 Common Stock 5,231,240 $3.69 D
Explanation of Responses:
1. These shares of common stock are held by the Sanger Family Legacy Trust 1.
2. These options were originally granted on February 10, 2005 as options to purchase common stock of Envision Healthcare Corporation ("EVHC"), formerly known as Emergency Medical Services Corporation, and vested 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 continuing as the surviving corporation and an indirect wholly owned subsidiary of the Issuer (the "Merger"), 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 (the "Rollover Agreement").
3. These options were originally granted on March 12, 2009 as options to purchase common stock of EVHC, which were scheduled to vest on the first four anniversaries of the grant date, subject to continued employment. In connection with the Merger, the options converted to fully vested options to purchase common stock of the Issuer pursuant to the Rollover Agreement.
4. These options were originally granted on May 18, 2010 as options to purchase common stock of EVHC, which were scheduled to vest on the first four anniversaries of the grant date, subject to continued employment. In connection with the Merger, the options converted to fully vested options to purchase common stock of the Issuer pursuant to the Rollover Agreement.
5. These options were granted on May 25, 2011 and are scheduled to vest in five annual installments. 2,092,490 of these options are currently vested. 3,138,750 of these options in the aggregate will vest in three remaining installments on each of December 31, 2013, 2014 and 2015, subject to continued employment.
/s/ Craig A. Wilson, Attorney-in-Fact for William A. Sanger 08/13/2013
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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