0001181431-14-022197.txt : 20140623
0001181431-14-022197.hdr.sgml : 20140623
20140602202436
ACCESSION NUMBER: 0001181431-14-022197
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140529
FILED AS OF DATE: 20140602
DATE AS OF CHANGE: 20140602
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: Mactas Mark Van
CENTRAL INDEX KEY: 0001477211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36048
FILM NUMBER: 14885737
MAIL ADDRESS:
STREET 1: JUPITER SATURN HOLDING CO
STREET 2: 875 THIRD AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
rrd410755.xml
FORM 4
X0306
4
2014-05-29
0
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001477211
Mactas Mark Van
6200 S. SYRACUSE WAY
STE 200
GREENWOOD VILLAGE
CO
80111
1
0
0
0
Common Stock
2014-05-29
4
A
0
2865
0
A
2865
D
Represents 2,865 restricted stock units, which vest on the earlier of (i) the one year anniversary of the grant date or (ii) the date of the Company's next annual shareholders meeting, in each case subject to Mr. Mactas' continued service on the Company's board of directors.
/s/ Craig A. Wilson, Attorney-in-Fact for Mark Van Mactas
2014-06-02