0000895930-16-000115.txt : 20160202 0000895930-16-000115.hdr.sgml : 20160202 20160202171116 ACCESSION NUMBER: 0000895930-16-000115 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160202 DATE AS OF CHANGE: 20160202 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: GERINGER STEVEN I CENTRAL INDEX KEY: 0001203383 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 161381844 MAIL ADDRESS: STREET 1: C/O AMSURG CORP STREET 2: 20 BURTON HILLS BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 5 1 wf-form5_145445106479923.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0001203383 GERINGER STEVEN I 1212 LAUREL STREET #1001 NASHVILLE TN 37203 1 0 0 0 Common stock 21233 D Common stock 9698 I By family trust /s/ Steven I. Geringer 2016-02-02