-----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, P+aJ5MnGz9tv4euBIpVcHVC7uzH+3MqKLYmh/LFsXFckBmOzDOHPXkVw7rk2D5qu /yj8RyYJ2xO2ztEAfFRVbw== 0001209191-05-007024.txt : 20050204 0001209191-05-007024.hdr.sgml : 20050204 20050204170209 ACCESSION NUMBER: 0001209191-05-007024 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050204 DATE AS OF CHANGE: 20050204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lavender Kevin P CENTRAL INDEX KEY: 0001291607 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 05577881 BUSINESS ADDRESS: BUSINESS PHONE: (615) 665-1283 MAIL ADDRESS: STREET 1: C/O AMSURG CORPORATION STREET 2: 20 BURTON HILLS BLVD., 5TH FLOOR 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 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0001291607 Lavender Kevin P C/O AMSURG 20 BURTON HILLS BLVD NASHVILLE TN 37215 1 0 0 0 Common stock 508 D /s/ Kevin P. Lavender 2005-02-04 -----END PRIVACY-ENHANCED MESSAGE-----