0001209191-11-053693.txt : 20111101 0001209191-11-053693.hdr.sgml : 20111101 20111101190826 ACCESSION NUMBER: 0001209191-11-053693 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111028 FILED AS OF DATE: 20111101 DATE AS OF CHANGE: 20111101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MANNING DAVID L CENTRAL INDEX KEY: 0001055111 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 111172600 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 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: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-10-28 0 0000895930 AMSURG CORP AMSG 0001055111 MANNING DAVID L 20 BURTON HILLS BLVD. SUITE 500 NASHVILLE TN 37215 0 1 0 0 EVP-Chief Development Officer Common stock 2011-10-28 4 M 0 8000 14.667 A 86421 D Common stock 2011-10-28 4 S 0 8000 26.006 D 78421 D Employee stock option 14.667 2011-10-28 4 M 0 8000 14.667 D 2001-11-15 2011-11-15 Common stock 8000 12000 D /s/ David L. Manning 2011-11-01