0001638833-20-000021.txt : 20200317
0001638833-20-000021.hdr.sgml : 20200317
20200317170558
ACCESSION NUMBER: 0001638833-20-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200313
FILED AS OF DATE: 20200317
DATE AS OF CHANGE: 20200317
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Evans Jason Eric
CENTRAL INDEX KEY: 0001670094
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 20721867
MAIL ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY, SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgery Partners, Inc.
CENTRAL INDEX KEY: 0001638833
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 473620923
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-234-5900
MAIL ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
wf-form4_158447914085371.xml
FORM 4
X0306
4
2020-03-13
0
0001638833
Surgery Partners, Inc.
SGRY
0001670094
Evans Jason Eric
C/O SURGERY PARTNERS, INC.
310 SEVEN SPRINGS WAY, SUITE 500
BRENTWOOD
TN
37027
0
1
0
0
Chief Executive Officer
Common Stock
2020-03-13
4
A
0
97809
0
A
209464
D
Shares will vest in three equal annual installments of each of the first three anniversaries of March 13, 2020.
/s/ Jennifer Baldock, Attorney-in-Fact
2020-03-17