-----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, AAcO2o28Fd0LLYtXhoDs80TGRDNhS7zk/znal8SuSoGwRrGRjBBR3SEtWk4IRvmz mdptPBLi967ZsIetyWf1bQ== 0001209191-10-005399.txt : 20100128 0001209191-10-005399.hdr.sgml : 20100128 20100128213705 ACCESSION NUMBER: 0001209191-10-005399 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100128 DATE AS OF CHANGE: 20100128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Payne Billie Aileen CENTRAL INDEX KEY: 0001417916 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 10555469 MAIL ADDRESS: STREET 1: AMSURG 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: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2009-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0001417916 Payne Billie Aileen 20 BURTON HILLS BLVD NASHVILLE TN 37215 0 1 0 0 Senior VP of Operations Common stock 20343 D Employee stock option 24.10 2004-01-28 2014-01-28 Common stock 7200 7200 D Employee stock option 25.76 2005-01-27 2015-01-27 Common stock 13000 13000 D Employee stock option 21.07 2006-02-17 2016-02-17 Common stock 5600 5600 D Employee stock option 22.84 2011-02-15 2017-02-15 Common stock 7046 7046 D Employee stock option 24.75 2012-02-21 2018-02-21 Common stock 12172 12172 D Options are to purchase shares of common stock and vest in equal installments over 4 years, starting on the Date Exercisable. Options are to purchase shares of common stock and vest 4 years from transaction date. /s/ Billie A. Payne 2010-01-28 -----END PRIVACY-ENHANCED MESSAGE-----