0001209191-15-009904.txt : 20150205 0001209191-15-009904.hdr.sgml : 20150205 20150205172032 ACCESSION NUMBER: 0001209191-15-009904 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150203 FILED AS OF DATE: 20150205 DATE AS OF CHANGE: 20150205 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gawaluck John Thomas CENTRAL INDEX KEY: 0001632730 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 15581154 MAIL ADDRESS: STREET 1: 1A BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-02-03 0 0000895930 AMSURG CORP AMSG 0001632730 Gawaluck John Thomas C/O AMSURG 1A BURTON HILLS BOULEVARD NASHVILLE TN 37215 1 0 0 0 Common stock 0 D /s/ John T. Gawaluck 2015-02-05