0001209191-15-083563.txt : 20151204 0001209191-15-083563.hdr.sgml : 20151204 20151204164740 ACCESSION NUMBER: 0001209191-15-083563 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151028 FILED AS OF DATE: 20151204 DATE AS OF CHANGE: 20151204 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: WILLIAMS RONALD A CENTRAL INDEX KEY: 0001185243 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 151270569 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-10-28 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001185243 WILLIAMS RONALD A 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 1 0 0 0 Common Stock 2015-10-28 4 M 0 392346 3.69 A 396231 D Options (Rights to Buy) 3.69 2015-10-28 4 M 0 392346 0.00 D 2021-09-28 Common Stock 392346 130782 D These options were granted on October 1, 2011 and are scheduled to vest in five annual installments, with the first four installments having vested and the remaining installment scheduled to vest on December 31, 2015, subject to continued service on the board of directors. /s/ Craig A. Willson, Attorney-in-Fact for Ronald A. Williams 2015-12-04