-----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, Tot3+ptb45ERiLBWO/uHc97DBYe+VsTP95Kgh9E6F4S2ZurGmOZvsc31R9ugfxVL L5onMSwRPd9roiXlFMnG/A== 0001209191-05-005587.txt : 20050131 0001209191-05-005587.hdr.sgml : 20050131 20050131170714 ACCESSION NUMBER: 0001209191-05-005587 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050127 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 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: 000-22217 FILM NUMBER: 05562626 BUSINESS ADDRESS: STREET 1: AMSURG CORP STREET 2: 20 BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-01-27 0 0000895930 AMSURG CORP AMSG 0001200152 GULMI CLAIRE M 20 BURTON HILLS BLVD. SUITE 500 NASHVILLE TN 37215 1 1 0 0 Sr. VP & CFO Employee stock option 25.76 2005-01-27 4 A 0 45000 25.76 A 2005-01-27 2015-01-27 Common stock 45000 45000 D Options are to purchase shares of common stock and vest in equal installments over 4 years, starting on the Date Exercisable. /s/ Claire M. Gulmi 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----