0001209191-12-007816.txt : 20120206 0001209191-12-007816.hdr.sgml : 20120206 20120206165914 ACCESSION NUMBER: 0001209191-12-007816 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120202 FILED AS OF DATE: 20120206 DATE AS OF CHANGE: 20120206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clendenin Phillip A CENTRAL INDEX KEY: 0001459541 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 12574318 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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 2012-02-02 0 0000895930 AMSURG CORP AMSG 0001459541 Clendenin Phillip A 20 BURTON HILLS BLVD SUITE 500 NASHVILLE TN 37215 0 1 0 0 SVP Corporate Services Common stock 2012-02-02 4 A 0 12585 26.66 A 49163 D Restricted shares issued pusuant to the AmSurg Corp. 2006 Stock Incentive Plan, as amended, and vest in three equal installments on the second, third and fouth anniversaries of the transaction date. /s/ Phillip A. Clendenin 2012-02-06