0000904454-15-000649.txt : 20151002 0000904454-15-000649.hdr.sgml : 20151002 20151002170524 ACCESSION NUMBER: 0000904454-15-000649 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150930 FILED AS OF DATE: 20151002 DATE AS OF CHANGE: 20151002 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 BUSINESS ADDRESS: STREET 1: C/O SURGERY CENTER HOLDINGS, INC. STREET 2: 5426 BAY CENTER DRIVE, SUITE 300 CITY: TAMPA STATE: FL ZIP: 33609 BUSINESS PHONE: 615-234-5900 MAIL ADDRESS: STREET 1: C/O SURGERY CENTER HOLDINGS, INC. STREET 2: 5426 BAY CENTER DRIVE, SUITE 300 CITY: TAMPA STATE: FL ZIP: 33609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Feinstein Adam T CENTRAL INDEX KEY: 0001651639 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 151141215 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2015-09-30 0001638833 Surgery Partners, Inc. SGRY 0001651639 Feinstein Adam T C/O SURGERY PARTNERS, INC. 40 BURTON HILLS BOULEVARD, SUITE 500 NASHVILLE TN 37215 1 0 0 0 Stock Option (Right to Buy) 19.00 2015-09-30 4 A 0 4473 0 A 2025-09-30 Common Stock 4473 4473 D The option vests annually over a three year period, with the first one-third vesting on 09/30/2016. /s/ Michael T. Doyle, Attorney-in-Fact 2015-10-02