0001638833-21-000083.txt : 20210325 0001638833-21-000083.hdr.sgml : 20210325 20210325152656 ACCESSION NUMBER: 0001638833-21-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210325 FILED AS OF DATE: 20210325 DATE AS OF CHANGE: 20210325 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Jason Eric CENTRAL INDEX KEY: 0001670094 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 21772101 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY, SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 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_161670039921531.xml FORM 4 X0306 4 2021-03-25 0 0001638833 Surgery Partners, Inc. SGRY 0001670094 Evans Jason Eric C/O SURGERY PARTNERS, INC. 310 SEVEN SPRINGS WAY, SUITE 500 BRENTWOOD TN 37027 0 1 0 0 Chief Executive Officer Common Stock 2021-03-25 4 A 0 8867 0 A 390822 D The Compensation Committee approved this award of unrestricted common stock in lieu of, and in full settlement of, 50% of the cash incentive award earned by the Reporting Person under the Issuer's cash incentive plan for performance in 2020. /s/ Jennifer Baldock, Attorney-in-Fact 2021-03-25