0001209191-16-152794.txt : 20161201
0001209191-16-152794.hdr.sgml : 20161201
20161201191042
ACCESSION NUMBER: 0001209191-16-152794
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161201
FILED AS OF DATE: 20161201
DATE AS OF CHANGE: 20161201
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: Zimmerman Todd G
CENTRAL INDEX KEY: 0001346847
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36048
FILM NUMBER: 162029485
MAIL ADDRESS:
STREET 1: C/O EMERGENCY MEDICAL SERVICES CORP
STREET 2: 6200 SOUTH SYRACUSE WAY
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-12-01
1
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001346847
Zimmerman Todd G
6200 S. SYRACUSE WAY STE 200
GREENWOOD VILLAGE
CO
80111
0
1
0
0
CEO of EmCare, EVP
Common Stock
2016-12-01
4
D
0
229000
D
0
D
Option (Right to buy)
21.99
2016-12-01
4
D
0
101670
D
2026-02-24
Common Stock
101670
0
D
Option (Right to buy)
3.69
2016-12-01
4
D
0
585466
D
2021-05-22
Common Stock
585466
0
D
Disposition pursuant to the terms of the Agreement and Plan of Merger, dated as of June 15, 2016, by and among Envision Healthcare Holdings, Inc., New Amethyst Corp. and AmSurg Corp. (the "Merger Agreement"), exempt under Rule 16b-3.
Pursuant to the terms of the Merger Agreement, at the Merger 2 Effective Time, each share of common stock held by the reporting person immediately prior to the Merger 2 Effective Time (as defined in the Merger Agreement) was assumed by New Amethyst and converted into a New Amethyst share of common stock having the same terms and conditions, taking into account any changes thereto by reason of the Mergers (as defined in the Merger Agreement).
Pursuant to the terms of the Merger Agreement, at the Merger 2 Effective Time, each stock option held by the reporting person immediately prior to the Merger 2 Effective Time (as defined in the Merger Agreement) was assumed by New Amethyst and converted into a New Amethyst stock option having the same terms and conditions, taking into account any changes thereto by reason of the Mergers (as defined in the Merger Agreement).
These stock options are scheduled to vest in three installments on each of the first three anniversaries of February 24, 2016, subject to the Reporting Person's continued employment.
/s/ Craig A. Wilson, Attorney-in-Fact for Todd G. Zimmerman
2016-12-01