-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CUOhxH2nfHIFzyiTF7stUGAJNp3eHEI0CQEkCu8ArxHsw0HQ9fkqeU2JdiRaP6Gi nxC6BcdAri1pgJjK0qG3VA== 0000950144-01-506163.txt : 20010820 0000950144-01-506163.hdr.sgml : 20010820 ACCESSION NUMBER: 0000950144-01-506163 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010817 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52491 FILM NUMBER: 1717629 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD STREET 2: STE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651283 MAIL ADDRESS: STREET 1: ONE BURTON HILLS BLVD. STREET 2: SUITE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CIGARRAN THOMAS G CENTRAL INDEX KEY: 0000903095 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: ONE BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651122 MAIL ADDRESS: STREET 1: ONE BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 SC 13G/A 1 g70502a3sc13ga.txt AMSURG CORP./THOMAS CIGARRAN 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ----------------------------- Schedule 13G/A (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (Amendment No. 3) AmSurg Corp. ------------------------------------------------------------------------------- (Name of Issuer) Common Stock, no par value ------------------------------------------------------------------------------- (Title of Class of Securities) 3232P 40 5 - -------------------------------------------------------------------------------- (CUSIP Number) July 12, 2001 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [X] Rule 13d-1(c) [ ] Rule 13d-1(d) Page 1 of 5 Pages 2 - ------------------------------ ----------------------- CUSIP NO. 3232P 40 5 13G/A Page 2 of 5 Pages - ------------------------------ ----------------------- - ------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY) Thomas G. Cigarran - ------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ------------------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 420,876 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 0 REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 420,876 -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 420,876 - ------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* (a) [ ] - ------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 2.1% - ------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
3 - ------------------------------ ----------------------- CUSIP NO. 3232P 40 5 13G/A Page 3 of 5 Pages - ------------------------------ ----------------------- Item 1(a). Name of Issuer: AmSurg Corp. Item 1(b). Address of Issuer's 20 Burton Hills Boulevard Principal Executive Nashville, Tennessee 37215 Offices: Item 2(a). Name of Person Filing: Thomas G. Cigarran Item 2(b). Address of Principal 20 Burton Hills Boulevard Business Office: Nashville, Tennessee 37215 Item 2(c). Organization/Citizenship: United States citizen Item 2(d). Title of Class Common stock, no par value Of Securities: Item 2(e). CUSIP Number: 3232P 40 5 Item 3. Inapplicable. Item 4. Ownership.
TOTAL SHARES OF CLASS B COMMON SOLE SHARED STOCK PERCENT SOLE SHARED POWER POWER BENEFICIALLY OF VOTING VOTING TO TO PERSON OWNED CLASS(1) POWER POWER DISPOSE DISPOSE - ------------------ ------------ -------- ------ ------ ------- ------- Thomas G. Cigarran 420,876 2.1% 420,876 -- 420,876 --
- -------------------------- (1) Based on 19,893,333 shares of Common Stock outstanding as of July 12, 2001. 4 - ------------------------------ ----------------------- CUSIP NO. 3232P 40 5 13G/A Page 4 of 5 Pages - ------------------------------ ----------------------- Item 5. Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [X]. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Inapplicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Inapplicable. Item 8. Identification and Classification of Members of the Group. Inapplicable. Item 9. Notice of Dissolution of Group. Inapplicable. Item 10. Certification. Inapplicable. 5 - ------------------------------ ----------------------- CUSIP NO. 3232P 40 5 13G/A Page 5 of 5 Pages - ------------------------------ ----------------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. July 13, 2001 --------------------------------------------------------- Date /s/ Thomas G. Cigarran --------------------------------------------------------- (Signature) Thomas G. Cigarran, Chairman of the Board of AmSurg Corp. --------------------------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----