0000895930-15-000052.txt : 20150522 0000895930-15-000052.hdr.sgml : 20150522 20150522161422 ACCESSION NUMBER: 0000895930-15-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150522 DATE AS OF CHANGE: 20150522 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1A BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 1A BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS JOEY A CENTRAL INDEX KEY: 0001243878 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 15886777 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTER DRIVE STREET 2: SUITE 610 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 wf-form4_143232565290164.xml FORM 4 X0306 4 2015-05-20 0 0000895930 AMSURG CORP AMSG 0001243878 JACOBS JOEY A 1A BURTON HILLS BLVD NASHVILLE TN 37215 1 0 0 0 Common stock 2015-05-20 4 A 0 1871 69.48 A 8375 D Restricted stock award issued pursuant the AmSurg Corp. 2014 Equity and Incentive Plan, vesting in one year. /s/ Joey A. Jacobs 2015-05-22