0001209191-16-131065.txt : 20160705
0001209191-16-131065.hdr.sgml : 20160705
20160705163415
ACCESSION NUMBER: 0001209191-16-131065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160630
FILED AS OF DATE: 20160705
DATE AS OF CHANGE: 20160705
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: 161750952
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-06-30
0
0001578318
Envision Healthcare Holdings, Inc.
EVHC
0001185243
WILLIAMS RONALD A
6363 SOUTH FIDDLERS GREEN CIRCLE
14TH FLOOR
GREENWOOD VILLAGE
CO
80111
1
0
0
0
Common Stock
2016-06-30
4
A
0
1034
A
534763
D
Represents vested deferred stock units granted, pursuant to the Reporting Person's election, in lieu of $26,250 in cash for director fees. These deferred stock units will be settled into an equal number of shares of common stock following the earlier of the Reporting Person's termination of board service and a change in control under the Envision Healthcare Holdings, Inc. 2013 Omnibus Incentive Plan.
/s/ Craig A. Willson, Attorney-in-Fact for Ronald A. Williams
2016-07-05