0000895930-16-000161.txt : 20160226
0000895930-16-000161.hdr.sgml : 20160226
20160226173628
ACCESSION NUMBER: 0000895930-16-000161
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160224
FILED AS OF DATE: 20160226
DATE AS OF CHANGE: 20160226
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: Coward Robert Jon
CENTRAL INDEX KEY: 0001614100
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36531
FILM NUMBER: 161463700
MAIL ADDRESS:
STREET 1: 1613 N. HARRISON PKWY, STE. 200
CITY: SUNRISE
STATE: FL
ZIP: 33323
4
1
wf-form4_145652617798683.xml
FORM 4
X0306
4
2016-02-24
0
0000895930
AMSURG CORP
AMSG
0001614100
Coward Robert Jon
1613 N. HARRISON PKWY
SUITE 200
SUNRISE
FL
33323
0
1
0
0
Executive Vice President
Common stock
2016-02-24
4
M
0
8543
0
A
113680
D
Common stock
2016-02-24
4
F
0
1173
71.49
D
112507
D
Restricted stock units
2016-02-24
4
M
0
5695
0
D
Common stock
5695.0
9232
D
Each restricted stock unit converted into 1.50 shares of AmSurg Corp. common stock.
Payment of tax liability by withholding securities which vested on the transaction date in accordance with rule 16b-3.
Performance-based RSUs awarded on 2/3/15 that represented a contingent right to receive between 0.50 and 1.50 shares of AmSurg Corp. common stock to the extent the established performance criteria was met. Each of these RSUs converted into 1.50 shares of AmSurg Corp. common stock on February 24, 2016.
/s/ Robert J. Coward
2016-02-26