X0202 3 2005-12-15 0 0001344154 Emergency Medical Services CORP EMS 0001216421 KELLY JAMES TIMOTHY 64 BOGGS HILL ROAD NEWTOWN CT 06470 1 0 0 0 Class A Common Stock 112500 D Stock Option 6.67 2006-07-29 2015-07-29 Class A Common Stock 3750 D The options vest ratably on the first four anniversaries of the grant date, beginning July 29, 2006, provided that the exercisability of one-half of the options is conditioned upon meeting certain specified performance targets. NOTE: The information in this Form 3 gives effect to the formation of Emergency Medical Services Corporation as a holding company and an anticipated 1.5-for-1 stock split, as described under "Formation of Holding Company" in the company's Registration Statement on Form S-1 (No. 333-127115). /s/ James T. Kelly, Director of Emergency Medical Services Corporation 2005-12-15