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