0000895930-16-000099.txt : 20160201
0000895930-16-000099.hdr.sgml : 20160201
20160201180640
ACCESSION NUMBER: 0000895930-16-000099
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20160201
DATE AS OF CHANGE: 20160201
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMSURG CORP
CENTRAL INDEX KEY: 0000895930
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011]
IRS NUMBER: 621493316
STATE OF INCORPORATION: TN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1A BURTON HILLS BLVD.
CITY: NASHVILLE
STATE: TN
ZIP: 37215
BUSINESS PHONE: 615-665-1283
MAIL ADDRESS:
STREET 1: 1A BURTON HILLS BLVD.
CITY: NASHVILLE
STATE: TN
ZIP: 37215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clendenin Phillip A
CENTRAL INDEX KEY: 0001459541
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36531
FILM NUMBER: 161378622
MAIL ADDRESS:
STREET 1: 20 BURTON HILLS BOULEVARD
CITY: NASHVILLE
STATE: TN
ZIP: 37215
5
1
wf-form5_145436798917643.xml
FORM 5
X0306
5
2015-12-31
0
0
0
0000895930
AMSURG CORP
AMSG
0001459541
Clendenin Phillip A
1A BURTON HILLS BLVD
NASHVILLE
TN
37215
0
1
0
0
President Ambulatory Services
Common stock
40908
D
Restricted stock units
Common stock
3452.0
0
D
Each restricted stock unit represents a contingent right to receive between .50 and 1.50 shares of AmSurg Corp. common stock.
Performance-based RSUs awarded on February 3, 2015 that may be earned only to the extent the established performance criteria are met. These RSUs vest in three equal annual installments.
This amount represents the total number of derivative securities beneficially owned of the class shown.
/s/ Phillip A. Clendenin
2016-02-01