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