-----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, OaVQeCkIJEgzldLU1eLY4GxKV77pz8t5VBKEg2OfZt2e3SqNsNJsOAuRoEDCIfOJ zGRMJd5RYIxKz5i2ijevCQ== 0001209191-06-007280.txt : 20060202 0001209191-06-007280.hdr.sgml : 20060202 20060202184809 ACCESSION NUMBER: 0001209191-06-007280 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051231 FILED AS OF DATE: 20060202 DATE AS OF CHANGE: 20060202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GULMI CLAIRE M CENTRAL INDEX KEY: 0001200152 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 06575038 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 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2005-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0001200152 GULMI CLAIRE M 20 BURTON HILLS BLVD. SUITE 500 NASHVILLE TN 37215 1 1 0 0 Sr. VP & CFO Common stock 2000 D Employee stock option 5.083 1999-01-21 2009-01-21 Common stock 8100 8100 D Employee stock option 4.50 2000-01-27 2010-01-27 Common stock 18000 18000 D Employee stock option 16.583 2001-02-01 2011-02-01 Common stock 52500 52500 D Employee stock option 14.667 2001-11-15 2011-11-15 Common stock 60000 60000 D Employee stock option 16.20 2002-01-24 2012-01-24 Common stock 30000 30000 D Employee stock option 14.78 2003-02-06 2013-02-06 Common stock 81000 81000 D Employee stock option 24.10 2004-01-28 2014-01-28 Common stock 75000 75000 D Employee stock option 25.76 2005-01-27 2015-01-27 Common stock 45000 45000 D Options are to purchase shares of common stock and vest in equal installments over 4 years, starting on the Date Exercisable. /s/ Claire M. Gulmi 2006-02-02 -----END PRIVACY-ENHANCED MESSAGE-----