0001193125-16-791576.txt : 20161213 0001193125-16-791576.hdr.sgml : 20161213 20161213124615 ACCESSION NUMBER: 0001193125-16-791576 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20161213 DATE AS OF CHANGE: 20161213 EFFECTIVENESS DATE: 20161213 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Long Beach NSC, LLC CENTRAL INDEX KEY: 0001568584 IRS NUMBER: 201048768 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-24 FILM NUMBER: 162048097 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Illinois NSC, Inc. CENTRAL INDEX KEY: 0001568568 IRS NUMBER: 202393903 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-08 FILM NUMBER: 162048101 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg New Port Richey FL, Inc. CENTRAL INDEX KEY: 0001568514 IRS NUMBER: 621612176 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-11 FILM NUMBER: 162048103 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Arcadia CA Inc. CENTRAL INDEX KEY: 0001568576 IRS NUMBER: 204483684 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-34 FILM NUMBER: 162048110 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Melbourne, Inc. CENTRAL INDEX KEY: 0001568544 IRS NUMBER: 621635312 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-55 FILM NUMBER: 162048121 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Ocala, Inc. CENTRAL INDEX KEY: 0001568547 IRS NUMBER: 621650493 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-59 FILM NUMBER: 162048125 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg KEC, Inc. CENTRAL INDEX KEY: 0001568562 IRS NUMBER: 621510489 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-47 FILM NUMBER: 162048135 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC Beaumont, Inc. CENTRAL INDEX KEY: 0001568559 IRS NUMBER: 621524208 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-48 FILM NUMBER: 162048136 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC Topeka, Inc. CENTRAL INDEX KEY: 0001568517 IRS NUMBER: 621512093 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-50 FILM NUMBER: 162048138 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tampa Bay NSC, LLC CENTRAL INDEX KEY: 0001568599 IRS NUMBER: 203447384 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-06 FILM NUMBER: 162048144 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Kenwood NSC, LLC CENTRAL INDEX KEY: 0001568596 IRS NUMBER: 263055899 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-16 FILM NUMBER: 162048148 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Austin NSC, LP CENTRAL INDEX KEY: 0001568603 IRS NUMBER: 204943017 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-02 FILM NUMBER: 162048154 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Torrance NSC, LLC CENTRAL INDEX KEY: 0001568634 IRS NUMBER: 201048801 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-23 FILM NUMBER: 162048096 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NSC Healthcare, Inc. CENTRAL INDEX KEY: 0001568569 IRS NUMBER: 841209756 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-07 FILM NUMBER: 162048100 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Naples, Inc. CENTRAL INDEX KEY: 0001568513 IRS NUMBER: 621659906 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-10 FILM NUMBER: 162048102 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Main Line PA, Inc. CENTRAL INDEX KEY: 0001568574 IRS NUMBER: 205408469 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-33 FILM NUMBER: 162048109 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Scranton PA, Inc. CENTRAL INDEX KEY: 0001568577 IRS NUMBER: 202853308 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-35 FILM NUMBER: 162048111 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Abilene Eye, Inc. CENTRAL INDEX KEY: 0001568608 IRS NUMBER: 621692556 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-52 FILM NUMBER: 162048118 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Northwest Florida, Inc. CENTRAL INDEX KEY: 0001568550 IRS NUMBER: 621519549 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-60 FILM NUMBER: 162048126 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Palmetto, Inc. CENTRAL INDEX KEY: 0001568549 IRS NUMBER: 621647404 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-61 FILM NUMBER: 162048127 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Anesthesia Management Services, LLC CENTRAL INDEX KEY: 0001568558 IRS NUMBER: 271174941 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-27 FILM NUMBER: 162048139 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NSC West Palm, LLC CENTRAL INDEX KEY: 0001568598 IRS NUMBER: 760740666 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-14 FILM NUMBER: 162048145 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Towson NSC, LLC CENTRAL INDEX KEY: 0001568597 IRS NUMBER: 200314129 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-15 FILM NUMBER: 162048147 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Lorain, Inc. CENTRAL INDEX KEY: 0001568564 IRS NUMBER: 621595307 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-64 FILM NUMBER: 162048158 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Glendora CA, Inc. CENTRAL INDEX KEY: 0001568518 IRS NUMBER: 205732564 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-29 FILM NUMBER: 162048105 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Escondido CA, Inc. CENTRAL INDEX KEY: 0001568578 IRS NUMBER: 201626979 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-36 FILM NUMBER: 162048112 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Inglewood, Inc. CENTRAL INDEX KEY: 0001568591 IRS NUMBER: 621814134 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-41 FILM NUMBER: 162048117 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Hillmont, Inc. CENTRAL INDEX KEY: 0001568637 IRS NUMBER: 621632685 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-62 FILM NUMBER: 162048128 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC Santa Fe, Inc. CENTRAL INDEX KEY: 0001568560 IRS NUMBER: 621523398 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-46 FILM NUMBER: 162048134 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC St. Thomas, Inc. CENTRAL INDEX KEY: 0001568611 IRS NUMBER: 621511996 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-49 FILM NUMBER: 162048137 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Twin Falls NSC, LLC CENTRAL INDEX KEY: 0001568594 IRS NUMBER: 208086602 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-18 FILM NUMBER: 162048150 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Colton CA, Inc. CENTRAL INDEX KEY: 0001568613 IRS NUMBER: 461462856 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-13 FILM NUMBER: 162048157 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: San Antonio NSC, LLC CENTRAL INDEX KEY: 0001568631 IRS NUMBER: 200322582 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-20 FILM NUMBER: 162048095 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Kissimmee FL, Inc. CENTRAL INDEX KEY: 0001568516 IRS NUMBER: 621567628 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-42 FILM NUMBER: 162048104 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Lancaster PA, Inc. CENTRAL INDEX KEY: 0001568521 IRS NUMBER: 205988960 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-31 FILM NUMBER: 162048107 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Glendale, Inc. CENTRAL INDEX KEY: 0001568589 IRS NUMBER: 621807967 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-40 FILM NUMBER: 162048116 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg La Jolla, Inc. CENTRAL INDEX KEY: 0001568563 IRS NUMBER: 621625304 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-63 FILM NUMBER: 162048129 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Coral Springs NSC, LLC CENTRAL INDEX KEY: 0001568600 IRS NUMBER: 261649639 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-05 FILM NUMBER: 162048143 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ardmore NSC, LLC CENTRAL INDEX KEY: 0001568595 IRS NUMBER: 261651465 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-17 FILM NUMBER: 162048149 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Altamonte Springs FL, Inc. CENTRAL INDEX KEY: 0001568515 IRS NUMBER: 260289067 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-28 FILM NUMBER: 162048156 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg San Luis Obispo CA, Inc. CENTRAL INDEX KEY: 0001568581 IRS NUMBER: 201965555 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-38 FILM NUMBER: 162048114 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Oakland CA, Inc. CENTRAL INDEX KEY: 0001568522 IRS NUMBER: 205645841 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-32 FILM NUMBER: 162048108 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Abilene, Inc. CENTRAL INDEX KEY: 0001568557 IRS NUMBER: 621555413 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-43 FILM NUMBER: 162048131 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Weston NSC, LLC CENTRAL INDEX KEY: 0001568601 IRS NUMBER: 263435641 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-04 FILM NUMBER: 162048142 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Pottsville PA, Inc. CENTRAL INDEX KEY: 0001568520 IRS NUMBER: 260303835 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-30 FILM NUMBER: 162048106 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Fresno CA, Inc. CENTRAL INDEX KEY: 0001568612 IRS NUMBER: 461290033 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-01 FILM NUMBER: 162048141 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: 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 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062 FILM NUMBER: 162048094 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 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Miami, Inc. CENTRAL INDEX KEY: 0001568546 IRS NUMBER: 621598504 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-57 FILM NUMBER: 162048123 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NSC RBO East, LLC CENTRAL INDEX KEY: 0001568571 IRS NUMBER: 273205481 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-25 FILM NUMBER: 162048098 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fullerton NSC, LLC CENTRAL INDEX KEY: 0001568632 IRS NUMBER: 203435683 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-21 FILM NUMBER: 162048153 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Rockledge FL Anesthesia, LLC CENTRAL INDEX KEY: 0001570964 IRS NUMBER: 461848471 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-12 FILM NUMBER: 162048155 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Crystal River, Inc. CENTRAL INDEX KEY: 0001568610 IRS NUMBER: 621666189 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-53 FILM NUMBER: 162048119 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC Washington, Inc CENTRAL INDEX KEY: 0001568561 IRS NUMBER: 621506354 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-45 FILM NUMBER: 162048133 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Davis NSC, LLC CENTRAL INDEX KEY: 0001568633 IRS NUMBER: 205451784 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-22 FILM NUMBER: 162048152 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg EC Centennial, Inc. CENTRAL INDEX KEY: 0001568636 IRS NUMBER: 621511980 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-09 FILM NUMBER: 162048093 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg San Antonio TX, Inc. CENTRAL INDEX KEY: 0001568583 IRS NUMBER: 200075736 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-39 FILM NUMBER: 162048115 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Maryville, Inc. CENTRAL INDEX KEY: 0001568548 IRS NUMBER: 621586143 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-58 FILM NUMBER: 162048124 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Austin NSC, LLC CENTRAL INDEX KEY: 0001568630 IRS NUMBER: 204942934 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-19 FILM NUMBER: 162048151 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NSC RBO West, LLC CENTRAL INDEX KEY: 0001568570 IRS NUMBER: 263816052 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-26 FILM NUMBER: 162048099 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Torrance, Inc. CENTRAL INDEX KEY: 0001568566 IRS NUMBER: 621545685 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-44 FILM NUMBER: 162048132 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wilton NSC, LLC CENTRAL INDEX KEY: 0001568602 IRS NUMBER: 261653853 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-03 FILM NUMBER: 162048146 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Temecula CA, Inc. CENTRAL INDEX KEY: 0001568580 IRS NUMBER: 200095263 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-37 FILM NUMBER: 162048113 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Burbank, Inc. CENTRAL INDEX KEY: 0001568545 IRS NUMBER: 621619548 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-56 FILM NUMBER: 162048122 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg El Paso, Inc. CENTRAL INDEX KEY: 0001568543 IRS NUMBER: 621711537 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-54 FILM NUMBER: 162048120 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Suncoast, Inc. CENTRAL INDEX KEY: 0001568565 IRS NUMBER: 621555677 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-65 FILM NUMBER: 162048130 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmSurg Holdings, Inc. CENTRAL INDEX KEY: 0001568519 IRS NUMBER: 621595888 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-188062-51 FILM NUMBER: 162048140 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD STREET 2: 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 15-15D 1 d366446d1515d.htm 15-15D 15-15D

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

Commission File Numbers: 001-36531, 333-201255 and 333-188062

AMSURG CORP.

and the subsidiary guarantors listed on Schedule A

(Exact name of registrant as specified in its charter)

1A Burton Hills Boulevard

Nashville, Tennessee 37215

(615) 665-1283

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, no par value

5.250% Mandatory Convertible Preferred Stock, Series A-1, no par value

5.625% Senior Notes due 2022 (and Guarantees by Co-Registrants with respect thereto)

5.625% Senior Notes due 2020 (and Guarantees by Co-Registrants with respect thereto)

(Title of each class of securities covered by this Form)

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

Rule 12g-4(a)(1)

    ☒

Rule 12g-4(a)(2)

    ☐

Rule 12h-3(b)(1)(i)

    ☒

Rule 12h-3(b)(1)(ii)

    ☐

Rule 15d-6

    ☐

Approximate number of holders of record as of the certification or notice date:

Common Stock, no par value — 0 holders

5.250% Mandatory Convertible Preferred Stock, Series A-1, no par value — 0 holders

5.625% Senior Notes due 2022 — 54 holders

5.625% Senior Notes due 2020 — 14 holders

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, Envision Healthcare Corporation, as successor by merger to AmSurg Corp., and each co-registrant listed on Schedule A hereto has duly caused this certification/notice to be signed on its behalf by the undersigned hereunto duly authorized.

 

   

ENVISION HEALTHCARE CORPORATION, as

successor by merger to AmSurg Corp.

Each Co-Registrant listed on Schedule A hereto

December 13, 2016     By:   /s/ Claire M. Gulmi
        Name:   Claire M. Gulmi
        Title:  

Executive Vice President and Chief Financial Officer

of Envision Healthcare Corporation

Schedule A

Table of Co-Registrants

 

Exact Name of Registrant

Guarantor as Specified in its Charter

    State or
Other Jurisdiction of
Incorporation
or Formation		    I.R.S. Employer
Identification Number

AmSurg Holdings, Inc. (1)

    Delaware    62-1595888

AmSurg Anesthesia Management Services, LLC (1)

    Tennessee    27-1174941

AmSurg EC Topeka, Inc. (1)

    Tennessee    62-1512093

AmSurg EC St. Thomas, Inc. (1)

    Tennessee    62-1511996

AmSurg EC Beaumont, Inc. (1)

    Tennessee    62-1524208

AmSurg KEC, Inc. (1)

    Tennessee    62-1510489

AmSurg EC Santa Fe, Inc. (1)

    Tennessee    62-1523398

AmSurg EC Washington, Inc. (1)

    Tennessee    62-1506354

AmSurg Torrance, Inc. (1)

    Tennessee    62-1545685

AmSurg Abilene, Inc. (1)

    Tennessee    62-1555413

AmSurg Suncoast, Inc. (1)

    Tennessee    62-1555677

AmSurg Lorain, Inc. (1)

    Tennessee    62-1595307

AmSurg La Jolla, Inc. (1)

    Tennessee    62-1625304

AmSurg Hillmont, Inc. (1)

    Tennessee    62-1632685

AmSurg Palmetto, Inc. (1)

    Tennessee    62-1647404

AmSurg Northwest Florida, Inc. (1)

    Tennessee    62-1519549

AmSurg Ocala, Inc. (1)

    Tennessee    62-1650493

AmSurg Maryville, Inc. (1)

    Tennessee    62-1586143

AmSurg Miami, Inc. (1)

    Tennessee    62-1598504

AmSurg Burbank, Inc. (1)

    Tennessee    62-1619548

AmSurg Melbourne, Inc. (1)

    Tennessee    62-1625312

AmSurg El Paso, Inc. (1)

    Tennessee    62-1711537

AmSurg Crystal River, Inc. (1)

    Tennessee    62-1666189

AmSurg Abilene Eye, Inc. (1)

    Tennessee    62-1692556

AmSurg Inglewood, Inc. (1)

    Tennessee    62-1814134

AmSurg Glendale, Inc. (1)

    Tennessee    62-1807967

AmSurg San Antonio TX, Inc. (1)

    Tennessee    20-0075736

AmSurg San Luis Obispo CA, Inc. (1)

    Tennessee    20-1965555

AmSurg Temecula CA, Inc. (1)

    Tennessee    20-0095263

AmSurg Escondido CA, Inc. (1)

    Tennessee    20-1626979

AmSurg Scranton PA, Inc. (1)

    Tennessee    20-2853308

AmSurg Arcadia CA Inc. (1)

    Tennessee    20-4483684

AmSurg Main Line PA, Inc. (1)

    Tennessee    20-5408469

AmSurg Oakland CA, Inc. (1)

    Tennessee    20-5645841

AmSurg Lancaster PA, Inc. (1)

    Tennessee    20-5988960

AmSurg Pottsville PA, Inc. (1)

    Tennessee    26-0303835

AmSurg Glendora CA, Inc. (1)

    Tennessee    20-5732564

AmSurg Kissimmee FL, Inc. (1)

    Tennessee    62-1567628

AmSurg Altamonte Springs FL, Inc. (1)

    Tennessee    26-0289067

AmSurg New Port Richey FL, Inc. (1)

    Tennessee    62-1612176

AmSurg EC Centennial, Inc. (1)

    Tennessee    62-1511980

AmSurg Naples, Inc. (1)

    Tennessee    62-1659906

Illinois NSC, Inc. (1)

    Tennessee    20-2393903

NSC Healthcare, Inc. (1)

    Tennessee    84-1209756

NSC RBO West, LLC (1)

    Tennessee    26-3816052

NSC RBO East, LLC (1)

    Tennessee    27-3205481

Long Beach NSC, LLC (1)

    Tennessee    20-1048768

Torrance NSC, LLC (1)

    Tennessee    20-1048801

Davis NSC, LLC (1)

    Tennessee    20-5451784

Fullerton NSC, LLC (1)

    Tennessee    20-3435683

San Antonio NSC, LLC (1)

    Tennessee    20-0322582

Austin NSC, LLC (1)

    Tennessee    20-4942934

Twin Falls NSC, LLC (1)

    Tennessee    20-8086602

Ardmore NSC, LLC (1)

    Tennessee    26-1651465

Kenwood NSC, LLC (1)

    Tennessee    26-3055899

Towson NSC, LLC (1)

    Tennessee    20-0314129

Wilton NSC, LLC (1)

    Connecticut    26-1653853

NSC West Palm, LLC (1)

    Tennessee    76-0740666

Tampa Bay NSC, LLC (1)

    Tennessee    20-3447384

Coral Springs NSC, LLC (1)

    Tennessee    26-1649639

Weston NSC, LLC (1)

    Tennessee    26-3435641

AmSurg Fresno CA, Inc. (1)

    Tennessee    46-1290033

Austin NSC, L.P. (1)

    Texas    20-4943017

AmSurg Colton CA, Inc. (1)

    Tennessee    46-1462856

AmSurg Rockledge FL Anesthesia, LLC

    Tennessee    46-1848471

AmSurg Fresno Endoscopy, Inc. (1)

    Tennessee    46-4319557

AmSurg Temecula II, Inc. (1)

    Tennessee    46-4137624

AmSurg Finance, Inc. (1)

    Tennessee    47-2039667

SHI II, LLC (1)

    Tennessee    47-2039767

All Women’s Healthcare Holdings, Inc. (2)

    Delaware    13-4271816

All Women’s Healthcare, Inc. (2)

    Florida    42-1612456

All Women’s Healthcare of Dade, Inc. (2)

    Florida    45-0530994

All Women’s Healthcare of Sawgrass, Inc. (2)

    Florida    42-1612467

All Women’s Healthcare of West Broward, Inc. (2)

    Florida    42-1612462

All Women’s Healthcare Services, Inc. (2)

    Florida    45-0530996

Anesthesiologists of Greater Orlando, Inc. (2)

    Florida    59-3542796

Anesthesiology Associates of Tallahassee, Inc. (2)

    Florida    59-2970442

Bethesda Anesthesia Associates, Inc. (2)

    Florida    26-2588869

Boca Anesthesia Service, Inc. (2)

    Florida    65-0126861

Discovery Clinical Research, Inc. (2)

    Florida    20-1105922

Drs. Ellis, Rojas, Ross & Debs, Inc. (2)

    Florida    59-1205165

Flamingo Anesthesia Associates, Inc. (2)

    Florida    26-2804804

FM Healthcare Services, Inc. (2)

    Florida    27-3515257

FO Investments, Inc. (2)

    Florida    27-3515505

FO Investments II, Inc. (2)

    Florida    45-2641534

FO Investments III, Inc. (2)

    Florida    35-2438641

FMO Healthcare Holdings, Inc. (2)

    Delaware    27-3515065

Global Surgical Partners, Inc. (2)

    Florida    65-0903559

Greater Florida Anesthesiologists, LLC (2)

    Florida    27-0602251

Gynecologic Oncology Associates, Inc. (2)

    Florida    59-2026996

Jacksonville Beaches Anesthesia Associates, Inc. (2)

    Florida    26-2664313

Jupiter Anesthesia Associates, L.L.C. (2)

    Florida    26-1150385

Jupiter Healthcare, LLC (2)

    Florida    90-0997040

New Generations Babee Bag, Inc. (2)

    Florida    65-0878152

North Florida Perinatal Associates, Inc. (2)

    Florida    46-3234701

Parity Healthcare, Inc. (2)

    Florida    65-0360536

Partners in Medical Billing, Inc. (2)

    Florida    46-0638530

Physician Office Partners, Inc. (2)

    Kansas    74-3050016

Sheridan Anesthesia Services of Alabama, Inc. (2)

    Florida    46-1476545

Sheridan Anesthesia Services of Louisiana, Inc. (2)

    Florida    27-0983154

Sheridan Anesthesia Services of Oklahoma, Inc. (2)

    Florida    46-1722747

Sheridan Anesthesia Services of Virginia, Inc. (2)

    Florida    27-1895603

Sheridan Children’s Healthcare Services, Inc. (2)

    Florida    59-2347217

Sheridan Children’s Healthcare Services of Arizona, Inc. (2)

    Florida    47-1934541

Sheridan Children’s Healthcare Services of Louisiana, Inc. (2)

    Florida    46-2773044

Sheridan Children’s Healthcare Services of New Mexico, Inc. (2)

    Florida    83-0401457

Sheridan Children’s Healthcare Services of Virginia, Inc. (2)

    Florida    01-0622481

Sheridan Clinical Research, Inc. (2)

    Florida    65-1096710

Sheridan Emergency Physician Services, Inc. (2)

    Florida    65-1057394

Sheridan Emergency Physician Services of North Missouri, Inc. (2)

    Florida    46-5538742

Sheridan Emergency Physician Services of Missouri, Inc. (2)

    Florida    46-0617801

Sheridan Emergency Physician Services of South Florida, Inc. (2)

    Florida    46-2743595

Sheridan Healthcare, Inc. (2)

    Delaware    04-3252967

Sheridan Healthcare of Louisiana, Inc. (2)

    Florida    90-0196583

Sheridan Healthcare of Missouri, Inc. (2)

    Florida    20-3109582

Sheridan Healthcare of Vermont, Inc. (2)

    Florida    20-4063600

Sheridan Healthcare of Virginia, Inc. (2)

    Florida    27-1931953

Sheridan Healthcare of West Virginia, Inc. (2)

    West Virginia    65-1028803

Sheridan Healthcorp, Inc. (2)

    Florida    59-0971075

Sheridan Healthcorp of California, Inc. (2)

    California    46-4126626

Sheridan Healthy Hearing Services, Inc. (2)

    Florida    27-0417898

Sheridan Holdings, Inc. (2)

    Delaware    13-4056438

Sheridan InvestCo, LLC (2)

    Delaware    46-3274828

Sheridan Radiology Services, Inc. (2)

    Delaware    20-8211626

Southeast Perinatal Associates, Inc. (2)

    Florida    65-0363303

Sunbeam Asset LLC (2)

    Delaware    26-0312608

Tennessee Valley Neonatology, Inc. (2)

    Florida    27-5404223

Tiva Healthcare, Inc. (2)

    Florida    04-3721686

Sunbeam Intermediate Holdings, Inc. (2)

    Delaware    26-0206257

Sunbeam Primary Holdings, Inc. (2)

    Delaware    26-1126836

Anesthesia and Pain Management Services of California, Inc. (2)

    California    46-3806338

Anesthesiology of Jupiter, P.A. (2)

    Florida    65-0163043

Comprehensive Pain Medicine, Inc. (2)

    Florida    59-3129628

Comprehensive Teleradiology Solutions, Inc. (2)

    Florida    80-0953054

Coral Anesthesia Associates, Inc. (2)

    Florida    45-4660785

Florida United Radiology, L.C. (2)

    Florida    65-0887466

New Jersey Healthcare Specialists, P.C. (2)

    New Jersey    22-1948732

ICS Radiology, Inc. (2)

    Florida    45-3356647

Interventional Rehabilitation of South Florida, Inc. (2)

    Florida    65-0867955

Jupiter Imaging Associates, Inc. (2)

    Florida    65-0164050

Medical Anesthesia Consultants Medical Group, Inc. (2)

    California    68-0117704

North Texas Perinatal Associates, P.A. (2)

    Texas    75-2382044

Pain Physicians of Central Florida, P.A. (2)

    Florida    45-3912103

Sheridan Acquisition Associates, P.A. (2)

    Florida    20-5641357

Sheridan Acquisition Associates II, P.A. (2)

    Florida    26-1219178

Sheridan Anesthesia Services of Maryland, P.C. (2)

    Maryland    36-4551536

Sheridan Anesthesia Services of Minnesota, P.C. (2)

    Minnesota    46-1877451

Sheridan Children’s Healthcare Services of Colorado, P.C. (2)

    Colorado    20-8050077

Sheridan Children’s Healthcare Services of New Jersey, P.C. (2)

    New Jersey    27-2500879

Sheridan Children’s Healthcare Services of North Carolina, P.A. (2)

    North Carolina    57-1195202

Sheridan Children’s Healthcare Services of South Carolina, P.A. (2)

    South Carolina    46-0667408

Sheridan Children’s Healthcare Services of Tennessee, P.C. (2)

    Tennessee    45-4252387

Sheridan Critical Care Services, P.A. (2)

    Florida    46-3895683

Sheridan Emergency Physician Services of Georgia, LLC (2)

    Georgia    26-4498219

Sheridan Emergency Physician Services of South Carolina, P. A. (2)

    South Carolina    46-1302162

Sheridan Emergency Physician Services of South Dade, Inc. (2)

    Florida    20-4859734

Sheridan Healthcare of Arkansas, P.A. (2)

    Arkansas    86-1112056

Sheridan Healthcare of Connecticut, P.C. (2)

    Connecticut    61-1441438

Sheridan Healthcare of Massachusetts, P.C. (2)

    Massachusetts    26-1602923

Sheridan Healthcare of North Texas, P.A. (2)

    Texas    03-0509857

Sheridan Healthcare of Texas, P.A. (2)

    Texas    65-0603121

Sheridan Radiology Services of Central Florida, Inc. (2)

    Florida    20-8251783

Sheridan Radiology Services of Kentucky, Inc. (2)

    Florida    27-2107170

Sheridan Radiology Services of Pinellas, Inc. (2)

    Florida    38-3883031

Sheridan Radiology Services of South Florida, Inc. (2)

    Florida    20-5890948

Tri-County Pain Management, P.A. (2)

    New Jersey    83-0375709

 

(1) The address, including zip code, and telephone number, including area code, of this additional registrant’s principal executive offices is: c/o Envision Healthcare Corporation, 1A Burton Hills Boulevard, Nashville, Tennessee 37215, (615) 665-1283.

The name, address, including zip code, and telephone number, including area code, of agent for service of this additional registrant is:

Claire M. Gulmi

Executive Vice President and Chief Financial Officer

1A Burton Hills Boulevard

Nashville, Tennessee 37215

(615) 665-1283

With copies to: 

J. James Jenkins, Jr., Esq.

Bass, Berry & Sims PLC

150 Third Avenue South Suite 2800

Nashville, Tennessee 37201

(615) 742-6200

 

(2) The address, including zip code, and telephone number, including area code, of this additional registrant’s principal executive offices is: c/o Sheridan Healthcare, 7700 West Sunrise Boulevard, Plantation, Florida 33322, (800) 437-2672.

The name, address, including zip code, and telephone number, including area code, of agent for service of this additional registrant is:

Jillian E. Marcus, Esq.

General Counsel, Physician Services

7700 West Sunrise Boulevard

Plantation, Florida 33322

(800) 437-2672

With copies to: 

J. James Jenkins, Jr., Esq.

Bass, Berry & Sims PLC

150 Third Avenue South Suite 2800

Nashville, Tennessee 37201

(615) 742-6200