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