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