0000895930-16-000105.txt : 20160202
0000895930-16-000105.hdr.sgml : 20160202
20160202165448
ACCESSION NUMBER: 0000895930-16-000105
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20160202
DATE AS OF CHANGE: 20160202
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: Gawaluck John Thomas
CENTRAL INDEX KEY: 0001632730
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36531
FILM NUMBER: 161381608
MAIL ADDRESS:
STREET 1: 1A BURTON HILLS BLVD
CITY: NASHVILLE
STATE: TN
ZIP: 37215
5
1
wf-form5_145445007735842.xml
FORM 5
X0306
5
2015-12-31
0
0
0
0000895930
AMSURG CORP
AMSG
0001632730
Gawaluck John Thomas
C/O AMSURG
1A BURTON HILLS BLVD
NASHVILLE
TN
37215
1
0
0
0
Common stock
2624
D
/s/ John T. Gawaluck
2016-02-02