0001638833-21-000045.txt : 20210312 0001638833-21-000045.hdr.sgml : 20210312 20210312162420 ACCESSION NUMBER: 0001638833-21-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210310 FILED AS OF DATE: 20210312 DATE AS OF CHANGE: 20210312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COWHEY THOMAS F. CENTRAL INDEX KEY: 0001735242 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 21737757 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY STREET 2: 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_161558424467564.xml FORM 4 X0306 4 2021-03-10 0 0001638833 Surgery Partners, Inc. SGRY 0001735242 COWHEY THOMAS F. C/O SURGERY PARTNERS, INC. 310 SEVEN SPRINGS WAY, SUITE 500 BRENTWOOD TN 37027 0 1 0 0 Chief Financial Officer Common Stock 2021-03-10 4 A 0 5946 0 A 172953 D Common Stock 2021-03-10 4 A 0 6244 0 A 179197 D Shares will vest in two equal annual installments of each of the first two anniversaries of March 10, 2021. Shares will vest in three equal annual installments of each of the first three anniversaries of March 10, 2021. /s/ Jennifer Baldock, Attorney-in-Fact 2021-03-12