0001209191-12-043014.txt : 20120823 0001209191-12-043014.hdr.sgml : 20120823 20120823171011 ACCESSION NUMBER: 0001209191-12-043014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120821 FILED AS OF DATE: 20120823 DATE AS OF CHANGE: 20120823 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: 121052666 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: 0512 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 X0306 4 2012-08-21 0 0000895930 AMSURG CORP AMSG 0001200152 GULMI CLAIRE M 20 BURTON HILLS BLVD. SUITE 500 NASHVILLE TN 37215 1 1 0 0 Executive VP & CFO Common stock 2012-08-21 4 M 0 6083 24.10 A 102248 D Common stock 2012-08-21 4 S 0 6083 30.01 D 96165 D Employee stock option 24.10 2012-08-21 4 M 0 6083 24.10 D 2004-01-28 2014-01-28 Common stock 6083 12155 D /s/ Claire M. Gulmi 2012-08-23