0000895930-16-000129.txt : 20160204
0000895930-16-000129.hdr.sgml : 20160204
20160204181451
ACCESSION NUMBER: 0000895930-16-000129
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160202
FILED AS OF DATE: 20160204
DATE AS OF CHANGE: 20160204
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: GULMI CLAIRE M
CENTRAL INDEX KEY: 0001200152
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36531
FILM NUMBER: 161389697
4
1
wf-form4_145462768021697.xml
FORM 4
X0306
4
2016-02-02
0
0000895930
AMSURG CORP
AMSG
0001200152
GULMI CLAIRE M
1A BURTON HILLS BLVD
NASHVILLE
TN
37215
1
1
0
0
Executive VP & CFO
Common stock
2016-02-02
4
A
0
8597
0
A
106017
D
Restricted stock units
2016-02-02
4
A
0
5731
0
A
Common stock
5731.0
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 2, 2016 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/ Claire M. Gulmi
2016-02-04