0000895930-16-000198.txt : 20160527 0000895930-16-000198.hdr.sgml : 20160527 20160527163709 ACCESSION NUMBER: 0000895930-16-000198 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160526 FILED AS OF DATE: 20160527 DATE AS OF CHANGE: 20160527 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 161682886 MAIL ADDRESS: STREET 1: 1A BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 wf-form4_146438141540025.xml FORM 4 X0306 4 2016-05-26 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 2016-05-26 4 A 0 1956 74.14 A 4580 D Restricted stock award issued pursuant to the AmSurg Corp. 2014 Equity and Incentive Plan, vesting in one year. /s/ John T. Gawaluck 2016-05-27