0001181431-14-006102.txt : 20140210 0001181431-14-006102.hdr.sgml : 20140210 20140210200806 ACCESSION NUMBER: 0001181431-14-006102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140206 FILED AS OF DATE: 20140210 DATE AS OF CHANGE: 20140210 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: Zimmerman Todd G CENTRAL INDEX KEY: 0001346847 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 14591057 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 rrd402076.xml FORM 4 X0306 4 2014-02-06 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001346847 Zimmerman Todd G 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 0 1 0 0 President & CEO of EmCare, EVP Common Stock 2014-02-06 4 M 0 84788 0.72 A 363788 D Common Stock 2014-02-06 4 M 0 69694 3.19 A 433482 D Common Stock 2014-02-06 4 M 0 15518 3.69 A 449000 D Common Stock 2014-02-06 4 F 0 80453 29.509 D 368547 D Options (Rights to Buy) 0.72 2014-02-06 4 M 0 84788 0 D 2015-02-10 Common Stock 84788 0 D Options (Rights to Buy) 3.19 2014-02-06 4 M 0 69694 0 D 2019-03-12 Common Stock 69694 0 D Options (Rights to Buy) 3.69 2014-02-06 4 M 0 15518 0 D 2021-05-22 Common Stock 15518 845466 D 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 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"). 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. 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 Todd G. Zimmerman 2014-02-10