0001247524-15-000232.txt : 20150813 0001247524-15-000232.hdr.sgml : 20150813 20150813112641 ACCESSION NUMBER: 0001247524-15-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150811 FILED AS OF DATE: 20150813 DATE AS OF CHANGE: 20150813 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Care Affiliates, Inc. CENTRAL INDEX KEY: 0001411574 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 520 LAKE COOK ROAD STREET 2: SUITE 250 CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 847-236-0921 MAIL ADDRESS: STREET 1: 520 LAKE COOK ROAD STREET 2: SUITE 250 CITY: DEERFIELD STATE: IL ZIP: 60015 FORMER COMPANY: FORMER CONFORMED NAME: ASC Acquisition LLC DATE OF NAME CHANGE: 20070905 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Joseph T CENTRAL INDEX KEY: 0001317425 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36154 FILM NUMBER: 151049452 MAIL ADDRESS: STREET 1: C/O SURGICAL CARE AFFILIATES, INC. STREET 2: 520 LAKE COOK ROAD, SUITE 250 CITY: DEERFIELD STATE: IL ZIP: 60015 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2015-08-11 0001411574 Surgical Care Affiliates, Inc. SCAI 0001317425 Clark Joseph T C/O SURGICAL CARE AFFILIATES, INC., 520 LAKE COOK ROAD, SUITE 250 DEERFIELD IL 60015 0 1 0 0 Chief Development Officer Common Stock 2015-08-11 4 S 0 40000 38.61 D 45814 D Options to Purchase Common Stock 13.94 2022-03-06 Common Stock 6098 6098 D Options to Purchase Common Stock 11.48 2022-03-06 Common Stock 18292 18292 D Options to Purchase Common Stock 12.41 2023-05-06 Common Stock 53658 53658 D Options to Purchase Common Stock 29.02 2024-09-17 Common Stock 30152 30152 D Options to Purchase Common Stock 38.35 2025-06-04 Common Stock 22692 22692 D Includes 39,347 shares of Common Stock underlying Restricted Stock Units ("RSUs") of the issuer. All of the RSUs are subject to time-based vesting and vest in equal annual installments over a period of four years from their respective grant dates and are settled on each applicable vesting date. All of the options are time-based options and, as of March 6, 2013, became fully vested. All of the options are time-based options which are scheduled to vest in equal installments on March 6, 2014, March 6, 2015 and March 6, 2016. All of the options are time-based options which are scheduled to vest in equal installments on May 6, 2014, May 6, 2015, May 6, 2016 and May 6, 2017. All of the options are time-based options which are scheduled to vest in equal installments on September 17, 2015, September 17, 2016, September 17, 2017 and September 17, 2018. All of the options are time-based options which are scheduled to vest in equal installments on June 4, 2016, June 4, 2017, June 4, 2018 and June 4, 2019. /s/ Richard L. Sharff, Jr., by power of attorney 2015-08-13