0001638833-19-000020.txt : 20190319
0001638833-19-000020.hdr.sgml : 20190319
20190319151742
ACCESSION NUMBER: 0001638833-19-000020
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190315
FILED AS OF DATE: 20190319
DATE AS OF CHANGE: 20190319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeVeydt Wayne S
CENTRAL INDEX KEY: 0001321392
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 19691341
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
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
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-234-5900
MAIL ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
wf-form4_155302304477140.xml
FORM 4
X0306
4
2019-03-15
0
0001638833
Surgery Partners, Inc.
SGRY
0001321392
DeVeydt Wayne S
C/O SURGERY PARTNERS, INC.
310 SEVEN SPRINGS WAY, SUITE 500
BRENTWOOD
TN
37027
1
1
0
0
Chief Executive Officer
Common Stock
2019-03-15
4
A
0
46572
0
A
134169
D
Stock Option (Right to Buy)
13.42
2019-03-15
4
A
0
490000
0
A
2029-03-15
Common Stock
490000.0
490000
D
Shares will vest in three equal annual installments of each of the first three anniversaries of March 15, 2019.
One-third (1/3) of the options will vest in three equal installments on each of December 31, 2020, December 31, 2021, and December 31, 2022, generally contingent upon continued employment through each applicable vesting date (the "time condition"). One-third (1/3) of the options will vest based on satisfaction of the time condition and the achievement of a closing price per share of the Issuer's Common Stock of $25.00. The remaining one-third (1/3) of the options will vest based on satisfaction of the time condition and the achievement of a closing price per share of the Issuer's Common Stock of $35.00.
/s/ Jennifer Baldock, Attorney-in-Fact
2019-03-19