-----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, TVJv5Oki/aCUTueeWN++IsnMNB//LRhwcazuV9SMGRPECmQQemg7K3t0eE7VdqGH UI3UQRILu4gY9VcFrtBG6A== 0001209191-05-013211.txt : 20050302 0001209191-05-013211.hdr.sgml : 20050302 20050302164932 ACCESSION NUMBER: 0001209191-05-013211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050228 FILED AS OF DATE: 20050302 DATE AS OF CHANGE: 20050302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KENNEDY R DALE CENTRAL INDEX KEY: 0001277708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50574 FILM NUMBER: 05654903 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYMBION INC/TN CENTRAL INDEX KEY: 0001091312 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621625480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-234-5900 4 1 bna93562_bna01kennedy.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-02-28 0001091312 SYMBION INC/TN SMBI 0001277708 KENNEDY R DALE 40 BURTON HILLS BOULEVARD SUITE 500 NASHVILLE TN 37215 0 1 0 0 SVP-Management and Secretary Common Stock 2005-02-28 4 M 0 15800 8.33 A 55350 D Common Stock 2005-02-28 4 F 0 6138 21.44 D 49212 D Stock Options 8.33 2005-02-28 4 M 0 15800 0 D 2003-05-11 2005-05-11 Common Stock 15800 0 D The transactions reported on this Form 4 were effected pursuant to a Rule 10b5-1 plan adopted by the reporting person. /s/ R. Dale Kennedy 2005-03-02 -----END PRIVACY-ENHANCED MESSAGE-----