0000895930-16-000137.txt : 20160204 0000895930-16-000137.hdr.sgml : 20160204 20160204204735 ACCESSION NUMBER: 0000895930-16-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160202 FILED AS OF DATE: 20160204 DATE AS OF CHANGE: 20160204 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: HOLDEN CHRISTOPHER A CENTRAL INDEX KEY: 0001188113 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 161390005 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 wf-form4_145463684421531.xml FORM 4 X0306 4 2016-02-02 0 0000895930 AMSURG CORP AMSG 0001188113 HOLDEN CHRISTOPHER A 1A BURTON HILLS BLVD NASHVILLE TN 37215 1 1 0 0 President and CEO Common stock 2016-02-02 4 A 0 224385 0 A 489428 D Restricted stock units 2016-02-02 4 A 0 32441 0 A Common stock 32441.0 0 D Each restricted stock unit represents a contingent right to receive between .50 and 1.50 shares of AmSurg Corp. common stock. Performance-based RSUs awarded on February 2, 2016 that may be earned only to the extent the established performance criteria are met. These RSUs vest in three equal annual installments. This amount represents the total number of derivative securities beneficially owned of the class shown. /s/ Christopher A. Holden 2016-02-04