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