0001193125-16-791583.txt : 20161213 0001193125-16-791583.hdr.sgml : 20161213 20161213125158 ACCESSION NUMBER: 0001193125-16-791583 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: Sheridan Emergency Physician Services of Georgia, LLC CENTRAL INDEX KEY: 0001622679 IRS NUMBER: 264498219 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-16 FILM NUMBER: 162048171 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services of Colorado, P.C. CENTRAL INDEX KEY: 0001622719 IRS NUMBER: 208050077 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-26 FILM NUMBER: 162048177 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jupiter Imaging Associates, Inc. CENTRAL INDEX KEY: 0001622660 IRS NUMBER: 650164050 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-50 FILM NUMBER: 162048185 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tiva Healthcare, Inc. CENTRAL INDEX KEY: 0001622814 IRS NUMBER: 043721686 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-138 FILM NUMBER: 162048191 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Anesthesia Services of Louisiana, Inc. CENTRAL INDEX KEY: 0001624623 IRS NUMBER: 270983154 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-32 FILM NUMBER: 162048205 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: 333-201255-137 FILM NUMBER: 162048210 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: 333-201255-84 FILM NUMBER: 162048215 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: 333-201255-111 FILM NUMBER: 162048222 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, 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: 333-201255-123 FILM NUMBER: 162048232 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: 333-201255-112 FILM NUMBER: 162048234 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: FMO Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001624142 IRS NUMBER: 273515065 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-63 FILM NUMBER: 162048243 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: Flamingo Anesthesia Associates, Inc. CENTRAL INDEX KEY: 0001624205 IRS NUMBER: 262804804 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-66 FILM NUMBER: 162048247 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: Boca Anesthesia Service, Inc. CENTRAL INDEX KEY: 0001624308 IRS NUMBER: 650126861 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-74 FILM NUMBER: 162048250 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: 333-201255-108 FILM NUMBER: 162048262 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: 333-201255-41 FILM NUMBER: 162048266 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: 333-201255-36 FILM NUMBER: 162048272 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: Anesthesiology of Jupiter, P.A. CENTRAL INDEX KEY: 0001622646 IRS NUMBER: 650163043 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-78 FILM NUMBER: 162048280 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sunbeam Intermediate Holdings, Inc. CENTRAL INDEX KEY: 0001622690 IRS NUMBER: 260206257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-142 FILM NUMBER: 162048282 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE, STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE, STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physician Office Partners, Inc. CENTRAL INDEX KEY: 0001622633 IRS NUMBER: 743050016 STATE OF INCORPORATION: KS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-37 FILM NUMBER: 162048289 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-259-6784 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gynecologic Oncology Associates, Inc. CENTRAL INDEX KEY: 0001624158 IRS NUMBER: 592026996 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-56 FILM NUMBER: 162048294 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: 333-201255-120 FILM NUMBER: 162048301 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: Sheridan Healthcare of Arkansas, P.A. CENTRAL INDEX KEY: 0001622727 IRS NUMBER: 861112056 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-09 FILM NUMBER: 162048306 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-118 FILM NUMBER: 162048313 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: Tri-County Pain Management, P.A. CENTRAL INDEX KEY: 0001622780 IRS NUMBER: 830375709 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-135 FILM NUMBER: 162048319 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Radiology Services of Pinellas, Inc. CENTRAL INDEX KEY: 0001622776 IRS NUMBER: 383883031 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-148 FILM NUMBER: 162048320 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Healthcare of Texas, P.A. CENTRAL INDEX KEY: 0001622758 IRS NUMBER: 650603121 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-03 FILM NUMBER: 162048323 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services, Inc. CENTRAL INDEX KEY: 0001624722 IRS NUMBER: 592347217 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-19 FILM NUMBER: 162048326 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: Sheridan Children's Healthcare Services of Tennessee, P.C. CENTRAL INDEX KEY: 0001622678 IRS NUMBER: 454252387 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-21 FILM NUMBER: 162048173 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services of New Jersey, P.C. CENTRAL INDEX KEY: 0001622723 IRS NUMBER: 272500879 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-24 FILM NUMBER: 162048176 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Anesthesia Services of Maryland, P.C. CENTRAL INDEX KEY: 0001622705 IRS NUMBER: 364551536 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-31 FILM NUMBER: 162048179 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Acquisition Associates, P.A. CENTRAL INDEX KEY: 0001622702 IRS NUMBER: 205641357 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-34 FILM NUMBER: 162048181 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: VT ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: VT ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Coral Anesthesia Associates, Inc. CENTRAL INDEX KEY: 0001622635 IRS NUMBER: 454640785 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-71 FILM NUMBER: 162048188 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Anesthesia & Pain Management Services of California, Inc. CENTRAL INDEX KEY: 0001622644 IRS NUMBER: 463806338 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-81 FILM NUMBER: 162048190 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Healthcare of West Virginia, Inc. CENTRAL INDEX KEY: 0001624247 IRS NUMBER: 651028803 STATE OF INCORPORATION: WV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-153 FILM NUMBER: 162048195 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: Sheridan Anesthesia Services of Virginia, Inc. CENTRAL INDEX KEY: 0001624691 IRS NUMBER: 271895603 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-28 FILM NUMBER: 162048204 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: Partners in Medical Billing, Inc. CENTRAL INDEX KEY: 0001622640 IRS NUMBER: 460638530 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-38 FILM NUMBER: 162048206 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-100 FILM NUMBER: 162048211 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: 333-201255-87 FILM NUMBER: 162048216 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: 333-201255-94 FILM NUMBER: 162048223 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: 333-201255-95 FILM NUMBER: 162048225 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 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: 333-201255-82 FILM NUMBER: 162048233 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: 333-201255-115 FILM NUMBER: 162048235 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: FO Investments III, Inc. CENTRAL INDEX KEY: 0001628437 IRS NUMBER: 352438641 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-61 FILM NUMBER: 162048244 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Drs. Ellis, Rojas, Ross & Debs, Inc. CENTRAL INDEX KEY: 0001624254 IRS NUMBER: 591205165 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-67 FILM NUMBER: 162048248 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: Anesthesiologists of Greater Orlando, Inc. CENTRAL INDEX KEY: 0001624115 IRS NUMBER: 593542796 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-80 FILM NUMBER: 162048253 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: All Women's Healthcare, Inc. CENTRAL INDEX KEY: 0001624128 IRS NUMBER: 421612456 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-125 FILM NUMBER: 162048258 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 II, Inc. CENTRAL INDEX KEY: 0001624001 IRS NUMBER: 464137624 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-83 FILM NUMBER: 162048261 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: 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: 333-201255-140 FILM NUMBER: 162048265 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, 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: 333-201255-76 FILM NUMBER: 162048271 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: Sheridan Healthcare of Virginia, Inc. CENTRAL INDEX KEY: 0001624248 IRS NUMBER: 271931953 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-02 FILM NUMBER: 162048274 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: Tennessee Valley Neonatology, Inc. CENTRAL INDEX KEY: 0001622813 IRS NUMBER: 275404223 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-139 FILM NUMBER: 162048283 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Southeast Perinatal Associates, Inc. CENTRAL INDEX KEY: 0001622819 IRS NUMBER: 650363303 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-144 FILM NUMBER: 162048284 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Florida Perinatal Associates, Inc. CENTRAL INDEX KEY: 0001624231 IRS NUMBER: 463234701 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-44 FILM NUMBER: 162048291 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: 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: 333-201255-69 FILM NUMBER: 162048295 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: 333-201255-110 FILM NUMBER: 162048302 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: Sheridan Healthcare of Connecticut, P.C. CENTRAL INDEX KEY: 0001622734 IRS NUMBER: 611441438 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-08 FILM NUMBER: 162048305 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-77 FILM NUMBER: 162048311 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: Sheridan Healthcare of Louisiana, Inc. CENTRAL INDEX KEY: 0001624228 IRS NUMBER: 900196583 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-07 FILM NUMBER: 162048316 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: Sheridan Children's Healthcare Services of South Carolina, P.A. CENTRAL INDEX KEY: 0001622685 IRS NUMBER: 460667408 STATE OF INCORPORATION: SC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-22 FILM NUMBER: 162048174 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FORMER COMPANY: FORMER CONFORMED NAME: Sheridan Children's Healthcare Services of South Carolian, P.A. DATE OF NAME CHANGE: 20141017 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pain Physicians of Central Florida, P.A. CENTRAL INDEX KEY: 0001622636 IRS NUMBER: 453912103 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-40 FILM NUMBER: 162048182 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ICS Radiology, Inc. CENTRAL INDEX KEY: 0001622655 IRS NUMBER: 453356647 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-55 FILM NUMBER: 162048187 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services of New Mexico, Inc. CENTRAL INDEX KEY: 0001624711 IRS NUMBER: 830401457 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-18 FILM NUMBER: 162048202 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: Jupiter Anesthesia Associates, L.L.C. CENTRAL INDEX KEY: 0001624218 IRS NUMBER: 261150385 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-52 FILM NUMBER: 162048208 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 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: 333-201255-102 FILM NUMBER: 162048219 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: 333-201255-91 FILM NUMBER: 162048226 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: 333-201255-98 FILM NUMBER: 162048230 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: 333-201255-101 FILM NUMBER: 162048236 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: FO Investments II, Inc. CENTRAL INDEX KEY: 0001624227 IRS NUMBER: 452641534 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-62 FILM NUMBER: 162048245 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: All Women's Healthcare of Dade, Inc. CENTRAL INDEX KEY: 0001623990 IRS NUMBER: 450530994 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-129 FILM NUMBER: 162048257 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: 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: 333-201255-134 FILM NUMBER: 162048270 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: Sheridan Radiology Services, Inc. CENTRAL INDEX KEY: 0001622801 IRS NUMBER: 208211626 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-146 FILM NUMBER: 162048285 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-105 FILM NUMBER: 162048298 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: Sheridan Healthcare of North Texas, P.A. CENTRAL INDEX KEY: 0001622799 IRS NUMBER: 030509857 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-04 FILM NUMBER: 162048303 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FO Investments, Inc. CENTRAL INDEX KEY: 0001624143 IRS NUMBER: 273515505 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-60 FILM NUMBER: 162048310 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: Sheridan Emergency Physician Services of Missouri, Inc. CENTRAL INDEX KEY: 0001624707 IRS NUMBER: 460617801 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-15 FILM NUMBER: 162048318 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: Sheridan Children's Healthcare Services of Virginia, Inc. CENTRAL INDEX KEY: 0001624710 IRS NUMBER: 010622481 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-20 FILM NUMBER: 162048324 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: Sheridan Emergency Physician Services of South Carolina, P.A. CENTRAL INDEX KEY: 0001622683 IRS NUMBER: 461302162 STATE OF INCORPORATION: SC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-13 FILM NUMBER: 162048170 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services of North Carolina, P.A. CENTRAL INDEX KEY: 0001622724 IRS NUMBER: 571192502 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-23 FILM NUMBER: 162048175 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Texas Perinatal Associates, P.A. CENTRAL INDEX KEY: 0001622701 IRS NUMBER: 752382044 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-43 FILM NUMBER: 162048183 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Interventional Rehabilitation of South Florida, Inc. CENTRAL INDEX KEY: 0001622662 IRS NUMBER: 650867955 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-54 FILM NUMBER: 162048186 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHERIDAN HEALTHCARE INC CENTRAL INDEX KEY: 0000946489 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 043252967 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-01 FILM NUMBER: 162048197 BUSINESS ADDRESS: STREET 1: 4651 SHERIDAN ST STREET 2: STE 400 CITY: HOLLYWOOD STATE: FL ZIP: 33021 BUSINESS PHONE: 3059875822 MAIL ADDRESS: STREET 1: 4651 SHERIDAN STREET STREET 2: SUITE 400 CITY: HOLLYWOOD STATE: FL ZIP: 33021 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Children's Healthcare Services of Arizona, Inc. CENTRAL INDEX KEY: 0001628220 IRS NUMBER: 471934541 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-27 FILM NUMBER: 162048203 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: New Generations Babee Bag, Inc. CENTRAL INDEX KEY: 0001624223 IRS NUMBER: 650878152 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-46 FILM NUMBER: 162048207 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: 333-201255-89 FILM NUMBER: 162048212 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: 333-201255-117 FILM NUMBER: 162048221 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: 333-201255-116 FILM NUMBER: 162048237 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: 333-201255-121 FILM NUMBER: 162048240 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: Bethesda Anesthesia Associates, Inc. CENTRAL INDEX KEY: 0001624310 IRS NUMBER: 262588869 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-75 FILM NUMBER: 162048251 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: All Women's Healthcare Services, Inc. CENTRAL INDEX KEY: 0001624117 IRS NUMBER: 450530996 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-126 FILM NUMBER: 162048254 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: All Women's Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001624003 IRS NUMBER: 134271816 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-130 FILM NUMBER: 162048259 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: 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: 333-201255-133 FILM NUMBER: 162048263 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: 333-201255-59 FILM NUMBER: 162048273 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: Sunbeam Primary Holdings, Inc. CENTRAL INDEX KEY: 0001622631 IRS NUMBER: 261126836 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-141 FILM NUMBER: 162048281 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Parity Healthcare, Inc. CENTRAL INDEX KEY: 0001624240 IRS NUMBER: 650360536 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-39 FILM NUMBER: 162048290 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: 333-201255-97 FILM NUMBER: 162048299 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: Sheridan Anesthesia Services of Alabama, Inc. CENTRAL INDEX KEY: 0001624226 IRS NUMBER: 461476545 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-33 FILM NUMBER: 162048309 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 Endoscopy, Inc. CENTRAL INDEX KEY: 0001624002 IRS NUMBER: 464319557 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-107 FILM NUMBER: 162048314 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 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: 333-201255-90 FILM NUMBER: 162048228 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: All Women's Healthcare of West Broward, Inc. CENTRAL INDEX KEY: 0001623992 IRS NUMBER: 421612462 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-127 FILM NUMBER: 162048255 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: Sheridan Clinical Research, Inc. CENTRAL INDEX KEY: 0001624709 IRS NUMBER: 651096710 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-17 FILM NUMBER: 162048201 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 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: 333-201255-114 FILM NUMBER: 162048238 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 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: 333-201255 FILM NUMBER: 162048276 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 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: 333-201255-92 FILM NUMBER: 162048300 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: 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: 333-201255-70 FILM NUMBER: 162048264 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: Sheridan Radiology Services of Central Florida, Inc. CENTRAL INDEX KEY: 0001622772 IRS NUMBER: 208251783 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-150 FILM NUMBER: 162048200 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASVHILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASVHILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florida United Radiology, L.C. CENTRAL INDEX KEY: 0001622653 IRS NUMBER: 650887466 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-65 FILM NUMBER: 162048278 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Comprehensive Pain Medicine, Inc. CENTRAL INDEX KEY: 0001622649 IRS NUMBER: 593129628 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-73 FILM NUMBER: 162048189 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-88 FILM NUMBER: 162048217 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: 333-201255-113 FILM NUMBER: 162048239 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: SHI II, LLC CENTRAL INDEX KEY: 0001628232 IRS NUMBER: 472039767 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-145 FILM NUMBER: 162048260 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: New Jersey Healthcare Specialists, P.C. CENTRAL INDEX KEY: 0001622664 IRS NUMBER: 221948732 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-45 FILM NUMBER: 162048277 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Anesthesia Services of Oklahoma, Inc. CENTRAL INDEX KEY: 0001624673 IRS NUMBER: 461722747 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-29 FILM NUMBER: 162048308 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: Sheridan Children's Healthcare Services of Louisiana, Inc. CENTRAL INDEX KEY: 0001624721 IRS NUMBER: 462773044 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-25 FILM NUMBER: 162048325 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: Sheridan InvestCo, LLC CENTRAL INDEX KEY: 0001622821 IRS NUMBER: 463274828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-151 FILM NUMBER: 162048193 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greater Florida Anesthesiologists, LLC CENTRAL INDEX KEY: 0001624249 IRS NUMBER: 270602251 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-57 FILM NUMBER: 162048209 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 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: 333-201255-104 FILM NUMBER: 162048229 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: All Women's Healthcare of Sawgrass, Inc. CENTRAL INDEX KEY: 0001623991 IRS NUMBER: 421612467 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-128 FILM NUMBER: 162048256 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: 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: 333-201255-132 FILM NUMBER: 162048267 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: Sheridan Healthcorp, Inc. CENTRAL INDEX KEY: 0001622828 IRS NUMBER: 590971075 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-156 FILM NUMBER: 162048288 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-42 FILM NUMBER: 162048297 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: 333-201255-122 FILM NUMBER: 162048312 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: Sheridan Emergency Physician Services of South Florida, Inc. CENTRAL INDEX KEY: 0001624703 IRS NUMBER: 462743595 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-11 FILM NUMBER: 162048317 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 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: 333-201255-103 FILM NUMBER: 162048241 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: Sheridan Healthcare of Vermont, Inc. CENTRAL INDEX KEY: 0001624230 IRS NUMBER: 204063600 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-154 FILM NUMBER: 162048275 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: Jupiter Healthcare, LLC CENTRAL INDEX KEY: 0001624221 IRS NUMBER: 900997040 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-51 FILM NUMBER: 162048292 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: Sheridan Radiology Services of Kentucky, Inc. CENTRAL INDEX KEY: 0001622775 IRS NUMBER: 272107170 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-149 FILM NUMBER: 162048321 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sunbeam Asset LLC CENTRAL INDEX KEY: 0001622818 IRS NUMBER: 260312608 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-143 FILM NUMBER: 162048192 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-106 FILM NUMBER: 162048218 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: FM Healthcare Services, Inc. CENTRAL INDEX KEY: 0001624207 IRS NUMBER: 273515257 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-64 FILM NUMBER: 162048246 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: Jacksonville Beaches Anesthesia Associates, Inc. CENTRAL INDEX KEY: 0001624251 IRS NUMBER: 262664313 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-53 FILM NUMBER: 162048293 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: Sheridan Healthcare of Massachusetts, P.C. CENTRAL INDEX KEY: 0001622759 IRS NUMBER: 261602923 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-06 FILM NUMBER: 162048304 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Critical Care Services, P.A. CENTRAL INDEX KEY: 0001622725 IRS NUMBER: 463895683 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-131 FILM NUMBER: 162048172 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Acquisition Associates II, P.A. CENTRAL INDEX KEY: 0001622704 IRS NUMBER: 261219178 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-35 FILM NUMBER: 162048180 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-119 FILM NUMBER: 162048224 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: 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: 333-201255-136 FILM NUMBER: 162048268 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: 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: 333-201255-48 FILM NUMBER: 162048296 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: Sheridan Emergency Physician Services, Inc. CENTRAL INDEX KEY: 0001624708 IRS NUMBER: 651057394 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-10 FILM NUMBER: 162048322 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: Medical Anesthesia Consultants Medical Group, Inc. CENTRAL INDEX KEY: 0001622663 IRS NUMBER: 680117704 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-47 FILM NUMBER: 162048184 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-124 FILM NUMBER: 162048220 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: Discovery Clinical Research, Inc. CENTRAL INDEX KEY: 0001624204 IRS NUMBER: 201105922 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-68 FILM NUMBER: 162048249 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: Comprehensive Teleradiology Solutions, Inc. CENTRAL INDEX KEY: 0001622651 IRS NUMBER: 800953054 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-72 FILM NUMBER: 162048279 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Emergency Physician Services of South Dade, Inc. CENTRAL INDEX KEY: 0001622726 IRS NUMBER: 204859734 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-12 FILM NUMBER: 162048307 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Healthcorp of California, Inc. CENTRAL INDEX KEY: 0001622827 IRS NUMBER: 464126626 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-157 FILM NUMBER: 162048194 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Anesthesiology Associates of Tallahassee, Inc. CENTRAL INDEX KEY: 0001624007 IRS NUMBER: 592970442 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-79 FILM NUMBER: 162048252 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 Finance, Inc. CENTRAL INDEX KEY: 0001628224 IRS NUMBER: 472039667 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-109 FILM NUMBER: 162048315 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FORMER COMPANY: FORMER CONFORMED NAME: AmSurg Finance, LLC DATE OF NAME CHANGE: 20141216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Anesthesia Services of Minnesota, P.C. CENTRAL INDEX KEY: 0001622718 IRS NUMBER: 461877451 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-30 FILM NUMBER: 162048178 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD 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: 333-201255-93 FILM NUMBER: 162048227 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: Sheridan Holdings, Inc. CENTRAL INDEX KEY: 0001622823 IRS NUMBER: 134056438 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-152 FILM NUMBER: 162048286 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Healthcare of Missouri, Inc. CENTRAL INDEX KEY: 0001624229 IRS NUMBER: 203109582 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-05 FILM NUMBER: 162048196 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 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: 333-201255-86 FILM NUMBER: 162048214 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: 333-201255-85 FILM NUMBER: 162048231 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: Sheridan Healthy Hearing Services, Inc. CENTRAL INDEX KEY: 0001622825 IRS NUMBER: 270417898 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-155 FILM NUMBER: 162048287 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Global Surgical Partners, Inc. CENTRAL INDEX KEY: 0001624144 IRS NUMBER: 650903559 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-58 FILM NUMBER: 162048242 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: 333-201255-96 FILM NUMBER: 162048213 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: 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: 333-201255-49 FILM NUMBER: 162048269 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: Sheridan Radiology Services of South Florida, Inc. CENTRAL INDEX KEY: 0001622778 IRS NUMBER: 205890948 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-147 FILM NUMBER: 162048199 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sheridan Emergency Physician Services of North Missouri, Inc. CENTRAL INDEX KEY: 0001624706 IRS NUMBER: 465538742 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-201255-14 FILM NUMBER: 162048198 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 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