0000904454-17-000668.txt : 20171115
0000904454-17-000668.hdr.sgml : 20171115
20171115150220
ACCESSION NUMBER: 0000904454-17-000668
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170907
FILED AS OF DATE: 20171115
DATE AS OF CHANGE: 20171115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Doyle Michael Thomas
CENTRAL INDEX KEY: 0001650454
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 171205053
MAIL ADDRESS:
STREET 1: 40 BURTON HILLS BOULEVARD SUITE 500
CITY: NASHVILLE
STATE: TN
ZIP: 37215
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: 40 BURTON HILLS BLVD.
CITY: NASHVILLE
STATE: TN
ZIP: 37215
BUSINESS PHONE: 615-234-5900
MAIL ADDRESS:
STREET 1: 40 BURTON HILLS BLVD.
CITY: NASHVILLE
STATE: TN
ZIP: 37215
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-09-07
0001638833
Surgery Partners, Inc.
SGRY
0001650454
Doyle Michael Thomas
C/O SURGERY PARTNERS, INC.,
40 BURTON HILLS BOULEVARD, SUITE 500
NASHVILLE
TN
37215
1
0
0
0
Common Stock
2017-09-07
4
F
0
39286
10.55
D
2987537
D
Common Stock
134937
I
By trusts
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of all outstanding incentive equity awards previously granted to the Reporting Person upon his resignation as Chief Executive Officer of the Issuer on September 7, 2017.
Shares held in equal amounts in three trusts for the benefit of the Reporting Person's children, of which his wife is trustee. The Reporting Person disclaims beneficial ownership of such shares.
/s/ Michael T. Doyle
2017-11-15