0000895930-16-000159.txt : 20160226 0000895930-16-000159.hdr.sgml : 20160226 20160226173509 ACCESSION NUMBER: 0000895930-16-000159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160224 FILED AS OF DATE: 20160226 DATE AS OF CHANGE: 20160226 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: GULMI CLAIRE M CENTRAL INDEX KEY: 0001200152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 161463683 4 1 wf-form4_145652609805995.xml FORM 4 X0306 4 2016-02-24 0 0000895930 AMSURG CORP AMSG 0001200152 GULMI CLAIRE M 1A BURTON HILLS BLVD NASHVILLE TN 37215 1 1 0 0 Executive VP & CFO Common stock 2016-02-24 4 M 0 10831 0 A 116848 D Common stock 2016-02-24 4 F 0 1515 71.49 D 115333 D Restricted stock units 2016-02-24 4 A 0 7220 0 D Common stock 7220.0 5731 D Each restricted stock unit converted into 1.50 shares of AmSurg Corp. common stock. Payment of tax liability by withholding securities which vested on the transaction date in accordance with rule 16b-3. Performance-based RSUs awarded on 2/3/15 that represented a contingent right to receive between 0.50 and 1.50 shares of AmSurg Corp. common stock to the extent the established performance criteria was met. Each of these RSUs converted into 1.50 shares of AmSurg Corp. common stock on February 24, 2016. /s/ Claire M. Gulmi 2016-02-26