0001209191-15-046879.txt : 20150526 0001209191-15-046879.hdr.sgml : 20150525 20150526181352 ACCESSION NUMBER: 0001209191-15-046879 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150521 FILED AS OF DATE: 20150526 DATE AS OF CHANGE: 20150526 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: Burt Carol CENTRAL INDEX KEY: 0001493926 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36048 FILM NUMBER: 15890557 MAIL ADDRESS: STREET 1: C/O WELLCARE HEALTH PLANS, INC. STREET 2: 8725 HENDERSON ROAD CITY: TAMPA STATE: FL ZIP: 33634 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-21 0 0001578318 Envision Healthcare Holdings, Inc. EVHC 0001493926 Burt Carol 6200 S. SYRACUSE WAY STE 200 GREENWOOD VILLAGE CO 80111 1 0 0 0 Common Stock 2015-05-21 4 A 0 2674 0.00 A 42064 I By trust Common Stock 14526 D Represents restricted stock units granted as director fees. The restricted stock units vest on the earlier of (i) the one year anniversary of the grant date or (ii) the date of the Company's next annual shareholders meeting, in each case subject to Ms. Burt's continued service on the Company's board of directors, and will be settled upon vesting. These restricted stock units are held by the Carol Burt Hilliard Trust dated February 26, 2009. /s/ Craig A. Wilson, Attorney-in-Fact for Carol J. Burt 2015-05-26