0001638833-21-000006.txt : 20210105 0001638833-21-000006.hdr.sgml : 20210105 20210105093343 ACCESSION NUMBER: 0001638833-21-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baldock Jennifer CENTRAL INDEX KEY: 0001650314 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 21504130 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY, SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Surgery Partners, Inc. CENTRAL INDEX KEY: 0001638833 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 473620923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY STREET 2: SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-234-5900 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY STREET 2: SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 wf-form4_160985720892253.xml FORM 4 X0306 4 2020-12-31 0 0001638833 Surgery Partners, Inc. SGRY 0001650314 Baldock Jennifer C/O SURGERY PARTNERS, INC. 310 SEVEN SPRINGS WAY, SUITE 500 BRENTWOOD TN 37027 0 1 0 0 Chief Admin & Dev Officer Common Stock 2020-12-31 4 F 0 1597 28.22 D 165891 D Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting on December 31, 2020 of restricted stock. /s/ Jennifer Baldock 2021-01-05