-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VUlLmSg2/SUMpKl3LEHAeLdpqRxyaakfPSz7mY36CJ0oejti+AVfrbrQOE7NY3/H NyyxwDUxPDr6GS7bHt8h6Q== 0001209191-04-005478.txt : 20040129 0001209191-04-005478.hdr.sgml : 20040129 20040129172042 ACCESSION NUMBER: 0001209191-04-005478 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040128 FILED AS OF DATE: 20040129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCDONALD KEN P CENTRAL INDEX KEY: 0001200151 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 04553457 BUSINESS ADDRESS: STREET 1: AMSURG CORP STREET 2: 20 BURTON HILLS BLVD. CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD STREET 2: STE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651283 MAIL ADDRESS: STREET 1: ONE BURTON HILLS BLVD. STREET 2: SUITE 350 CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-01-28 0 0000895930 AMSURG CORP AMSG 0001200151 MCDONALD KEN P 20 BURTON HILLS BOULEVARD NASHVILLE TN 37215 1 1 0 0 President and CEO Common stock 2.0000 I Spouse Employee stock option 36.1500 2004-01-28 4 A 0 170000.0000 36.1500 A 2004-01-28 2014-01-28 Common Stock 170000.0000 170000.0000 D Options are to purchase shares of common stock and vest in equal installments over 4 years starting on the Date Exercisable. /s/ Ken P. McDonald 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----