0001638833-21-000104.txt : 20210401 0001638833-21-000104.hdr.sgml : 20210401 20210401173414 ACCESSION NUMBER: 0001638833-21-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210401 DATE AS OF CHANGE: 20210401 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: 21799505 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_161731281813248.xml FORM 4 X0306 4 2021-04-01 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 2021-04-01 4 F 0 11366 44.26 D 375788 D /s/ Jennifer Baldock, Attorney-in-Fact 2021-04-01