-----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, Kh2eC5VDpfLgLTPEPlROm3KCJPS3zuyFVxIS/RK0hGQCM7HOOtFUamVN/Mrebbo5 LNLeB93PyhaeC/9gAy+oGw== 0000950144-98-001625.txt : 19980218 0000950144-98-001625.hdr.sgml : 19980218 ACCESSION NUMBER: 0000950144-98-001625 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980217 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52491 FILM NUMBER: 98540412 BUSINESS ADDRESS: STREET 1: ONE 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 FILED BY: COMPANY 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: SC 13G BUSINESS ADDRESS: STREET 1: ONE 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 SC 13G 1 AMSURG CORP./DAVID L. MANNING 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULE 13d-1 Under the Securities Exchange Act of 1934 AmSurg Corp. - ------------------------------------------------------------------------------- (Name of Issuer) Class A Common Stock, no par value - ------------------------------------------------------------------------------- (Title of Class of Securities) 03232P 10 8 ----------------------------------------------------- (CUSIP Number) (Continued on following page(s)) Page 1 of 5 Pages 2 - --------------------- ----------------- CUSIP No. 03232P 10 8 13G Page 2 of 5 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON David L. Manning - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - ------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 287,332 --------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY --------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 287,332 --------------------------------------------------------- PERSON 8 SHARED DISPOSITIVE POWER WITH - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 287,332 - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.8% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 3 - --------------------- ----------------- CUSIP No. 03232P 10 8 13G Page 3 of 5 Pages - --------------------- ----------------- Item 1(a) Name of Issuer: AmSurg Corp. Item 1(b) Address of Issuer's Principal One Burton Hills Blvd. Executive Offices: Suite 350 Nashville, TN 37215 Item 2(a) Name of Person Filing: See page 2, Item 1 Item 2(b) Address of Principal Business AmSurg Corp. Office: One Burton Hills Blvd. Suite 350 Nashville, TN 37215 Item 2(c) Citizenship: See page 2, Item 4. Item 2(d) Title of Class of Securities: Class A Common Stock, no par value. Item 2(e) CUSIP Number: 03232P 10 8 Item 3 This statement is not filed pursuant to Rules 13d-1(b) or 13d- 2(b). Item 4 Ownership: (a) Amount beneficially owned: See page 2, Item 9. (b) Percent of class: See page 2, Item 11. (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: See page 2, Item 5. 4 - --------------------- ----------------- CUSIP No. 03232P 10 8 13G Page 4 of 5 Pages - --------------------- ----------------- (ii) Shared power to vote or to direct the vote: See page 2, Item 6. (iii) Sole power to dispose or to direct the disposition of See page 2, item 7. (iv) Shared power to dispose or to direct the disposition of See page 2, Item 8. Includes 235,332 shares which the reporting person had the right to acquire within 60 days of December 31, 1997 upon exercise of options. Item 5 Ownership of Five Percent or Less of a Class. Inapplicable Item 6 Ownership of More than Five Percent on Behalf of Another Person. Inapplicable. Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Inapplicable. Item 8 Identification and Classification of Members of the Group. Inapplicable. Item 9 Notice of Dissolution of Group. Inapplicable. Item 10 Certification. Inapplicable. 5 - --------------------- ----------------- CUSIP No. 03232P 10 8 13G Page 5 of 5 Pages - --------------------- ----------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. 2/12/98 ---------------------------------------- (Date) /s/ David L. Manning ---------------------------------------- (Signature) David L. Manning, Senior Vice President ---------------------------------------- of Development and Assistant Secretary ---------------------------------------- Amsurg Corp. ---------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----