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