0000904454-15-000647.txt : 20151002
0000904454-15-000647.hdr.sgml : 20151002
20151002161359
ACCESSION NUMBER: 0000904454-15-000647
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150930
FILED AS OF DATE: 20151002
DATE AS OF CHANGE: 20151002
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgery Partners, Inc.
CENTRAL INDEX KEY: 0001638833
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 473620923
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: C/O SURGERY CENTER HOLDINGS, INC.
STREET 2: 5426 BAY CENTER DRIVE, SUITE 300
CITY: TAMPA
STATE: FL
ZIP: 33609
BUSINESS PHONE: 615-234-5900
MAIL ADDRESS:
STREET 1: C/O SURGERY CENTER HOLDINGS, INC.
STREET 2: 5426 BAY CENTER DRIVE, SUITE 300
CITY: TAMPA
STATE: FL
ZIP: 33609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAMER ANTHONY
CENTRAL INDEX KEY: 0001050045
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 151140460
MAIL ADDRESS:
STREET 1: 1001 SOUTH BAYSHORE DRIVE
STREET 2: STE 2708
CITY: MIAMI
STATE: FL
ZIP: 33131
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MNAYMNEH SAMI
CENTRAL INDEX KEY: 0001050046
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 151140461
MAIL ADDRESS:
STREET 1: 1001 SOUTH BAYSHORE DRIVE
STREET 2: STE 2708
CITY: MIAMI
STATE: FL
ZIP: 33131
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HIG GP II INC
CENTRAL INDEX KEY: 0001173671
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 151140462
BUSINESS ADDRESS:
STREET 1: 1001 BRICKELL BAY DR
STREET 2: 27TH FL
CITY: MIAMI
STATE: FL
ZIP: 33131
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: H.I.G. Surgery Centers, LLC
CENTRAL INDEX KEY: 0001510299
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 151140463
BUSINESS ADDRESS:
STREET 1: 1450 BRICKELL AVENUE
STREET 2: 31ST FLOOR
CITY: MIAMI
STATE: FL
ZIP: 33131
BUSINESS PHONE: 305-379-2322
MAIL ADDRESS:
STREET 1: 1450 BRICKELL AVENUE
STREET 2: 31ST FLOOR
CITY: MIAMI
STATE: FL
ZIP: 33131
3
1
edgar.xml
PRIMARY DOCUMENT
X0206
3
2015-09-30
0
0001638833
Surgery Partners, Inc.
SGRY
0001510299
H.I.G. Surgery Centers, LLC
C/O H.I.G. CAPITAL
1450 BRICKELL AVENUE, 31ST FLOOR
MIAMI
FL
33131
0
0
1
0
0001173671
HIG GP II INC
C/O H.I.G. CAPITAL
1450 BRICKELL AVENUE, 31ST FLOOR
MIAMI
FL
33131
0
0
1
0
0001050046
MNAYMNEH SAMI
C/O H.I.G. CAPITAL
1450 BRICKELL AVENUE, 31ST FLOOR
MIAMI
FL
33131
0
0
1
0
0001050045
TAMER ANTHONY
C/O H.I.G. CAPITAL
1450 BRICKELL AVENUE, 31ST FLOOR
MIAMI
FL
33131
0
0
1
0
Common Stock
27780115
D
The Common Stock directly beneficially owned by H.I.G. Surgery Centers, LLC may be deemed to be indirectly beneficially owned by H.I.G.-GPII, Inc., Sami W. Mnaymneh and Anthony A. Tamer. H.I.G.-GPII, Inc. is the manager of H.I.G. Surgery Centers, LLC , and Messrs. Mnaymneh and Tamer are co-presidents, directors and the sole shareholders of H.I.G.-GPII, Inc. Each of the Reporting Persons has shared voting and dispositive power over these securities, however each of them disclaims beneficial ownership of such securities except to the extent of their respective pecuniary interests therein.
H.I.G. Surgery Centers, LLC by H.I.G.-GPII, Inc. its manager, by: /s/ Richard H. Siegel, Vice President and General Counsel
2015-10-02
H.I.G.-GPII, Inc. by: /s/ Richard H. Siegel, Vice President and General Counsel
2015-10-02
Sami W. Mnaymneh by: /s/ Richard H. Siegel, Attorney-in-Fact
2015-10-02
Anthony A. Tamer by: /s/ Richard H. Siegel, Attorney-in-Fact
2015-10-02