-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Jz7wUSvfUkaIviKDHi39H1lop2G0D57rmlgcSDLQGObpXsQNO/s/tyAjxlxMEc4I giTGnUsH11sEU/YUsf4xGA== 0001209191-04-013196.txt : 20040301 0001209191-04-013196.hdr.sgml : 20040301 20040301100220 ACCESSION NUMBER: 0001209191-04-013196 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040227 FILED AS OF DATE: 20040301 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: 20 BURTON HILLS BLVD STREET 2: STE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651283 MAIL ADDRESS: STREET 1: ONE BURTON HILLS BLVD. STREET 2: SUITE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OVERHOLT BERGEIN F CENTRAL INDEX KEY: 0001203381 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 04637526 BUSINESS ADDRESS: STREET 1: C/O AMSURG CORP STREET 2: 20 BURTON HILLS BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651283 MAIL ADDRESS: STREET 1: C/O AMSURG CORP STREET 2: 20 BURTON HILLS BLVD STE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-02-27 0 0000895930 AMSURG CORP AMSG 0001203381 OVERHOLT BERGEIN F 801 WEISGARBER RD. STE. 100 KNOXVILLE TN 37950 1 0 0 0 Common stock 2004-02-27 4 M 0 1666.0000 3.0900 A 36724.0000 D Common stock 3000.0000 I Grandchildren's trust Common stock 3004.0000 I Gastrointestinal Associates, P.C., which Dr. Overholt is President Stock option 3.0900 2004-02-27 4 M 0 1666.0000 3.0900 D 1995-03-04 2004-03-04 Common stock 1666.0000 0 D /s/ Bergein F. Overholt, M.D. 2004-03-01 -----END PRIVACY-ENHANCED MESSAGE-----