0001181431-14-034811.txt : 20141024
0001181431-14-034811.hdr.sgml : 20141024
20141024173154
ACCESSION NUMBER: 0001181431-14-034811
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141022
FILED AS OF DATE: 20141024
DATE AS OF CHANGE: 20141024
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: Van Horne Edward
CENTRAL INDEX KEY: 0001584200
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36048
FILM NUMBER: 141173160
MAIL ADDRESS:
STREET 1: 6200 S. SYRACUSE WAY
STREET 2: STE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
4
1
rrd417914.xml
FORM 4
X0306
4
2014-10-22
0
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001584200
Van Horne Edward
6200 S. SYRACUSE WAY
STE 200
GREENWOOD VILLAGE
CO
80111
0
1
0
0
President of AMR
Common Stock
2014-10-22
4
M
0
6540
6.06
A
17939
D
Common Stock
2014-10-22
4
S
0
6540
35.001
D
11399
D
Options (Rights to Buy)
6.06
2014-10-22
4
M
0
6540
0
D
2020-05-18
Common Stock
6540
0
D
The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 28, 2014.
This transaction was executed in multiple trades at prices ranging from $35.00 to $35.01. The price reported above reflects the weighted average price, rounded to the nearest thousandth. The Reporting Person undertakes to provide, upon request, to the SEC staff, the Issuer or any security holder of the Issuer full information regarding the number of shares sold at each separate price within the ranges described in this footnote 2.
These options were originally granted on May 18, 2010 as options to purchase common stock of Envision Healthcare Corporation ("EVHC"), formerly known as Emergency Medical Services Corporation, which were scheduled to vest on the first four anniversaries of the grant date, subject to continued employment. In connection with the merger of an indirect subsidiary of the Issuer with and into EVHC, with EVHC as the surviving corporation and an indirect wholly owned subsidiary of the Issuer, the options converted to fully vested options to purchase common stock of the Issuer pursuant to a rollover agreement between the reporting person and the Issuer.
/s/ Craig A. Wilson, Attorney-in-Fact for Edward Van Horne
2014-10-24