0001209191-15-059121.txt : 20150702 0001209191-15-059121.hdr.sgml : 20150702 20150702181841 ACCESSION NUMBER: 0001209191-15-059121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150630 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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: SHELTON JAMES D CENTRAL INDEX KEY: 0001188136 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 15971427 MAIL ADDRESS: STREET 1: 5800 TENNYSON PARKWAY CITY: PLANO STATE: TX ZIP: 75024 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-30 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001188136 SHELTON JAMES D 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 1 0 0 0 Common Stock 2015-06-30 4 A 0 389 A 3063 D Represents vested deferred stock units granted, pursuant to the Reporting Person's election, in lieu of $15,375 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. Wilson, Attorney-in-Fact for James D. Shelton 2015-07-02