0001209191-15-083560.txt : 20151204
0001209191-15-083560.hdr.sgml : 20151204
20151204164157
ACCESSION NUMBER: 0001209191-15-083560
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151028
FILED AS OF DATE: 20151204
DATE AS OF CHANGE: 20151204
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Envision Healthcare Holdings, Inc.
CENTRAL INDEX KEY: 0001578318
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 450832318
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6200 S. SYRACUSE WAY, SUITE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
BUSINESS PHONE: (303) 495-1200
MAIL ADDRESS:
STREET 1: 6200 S. SYRACUSE WAY, SUITE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WILLIAMS RONALD A
CENTRAL INDEX KEY: 0001185243
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36048
FILM NUMBER: 151270553
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-10-28
0
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001185243
WILLIAMS RONALD A
6200 S. SYRACUSE WAY
STE 200
GREENWOOD VILLAGE
CO
80111
1
0
0
0
Common Stock
2015-10-28
4
M
0
392346
3.69
A
396231
D
Options (Rights to Buy)
3.69
2015-10-28
4
M
0
392346
0.00
D
2021-09-28
Common Stock
392346
130782
D
These options were granted on October 1, 2011 and are scheduled to vest in five annual installments, with the first four installments having vested and the remaining installment scheduled to vest on December 31, 2015, subject to continued service on the board of directors.
/s/ Craig A. Willson, Attorney-in-Fact for Ronald A. Williams
2015-12-04