0001209191-16-092635.txt : 20160120 0001209191-16-092635.hdr.sgml : 20160120 20160120165803 ACCESSION NUMBER: 0001209191-16-092635 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160115 FILED AS OF DATE: 20160120 DATE AS OF CHANGE: 20160120 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: 161351603 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-01-15 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 2016-01-15 4 M 0 130782 3.69 A 528023 D Options (Rights to Buy) 3.69 2016-01-15 4 M 0 130782 0.00 D 2021-09-28 Common Stock 130782 0 D These options were granted on October 1, 2011 and vested in five annual installments, with all of them having vested as of December 31, 2015. /s/ Craig Wilson, Attorney-in-Fact for Ronald A. Williams 2016-01-20