0001209191-12-029495.txt : 20120521 0001209191-12-029495.hdr.sgml : 20120521 20120521164039 ACCESSION NUMBER: 0001209191-12-029495 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120517 FILED AS OF DATE: 20120521 DATE AS OF CHANGE: 20120521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Cynthia S CENTRAL INDEX KEY: 0001425376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 12859295 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 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 4 1 doc4.xml FORM 4 SUBMISSION X0305 4 2012-05-17 0 0000895930 AMSURG CORP AMSG 0001425376 Miller Cynthia S 20 BURTON HILLS BLVD SUITE 500 NASHVILLE TN 37215 1 0 0 0 Common Stock 2012-05-17 4 A 0 3577 27.96 A 5920 D Restricted stock award issued pursuant the AmSurg Corp. 2006 Stock Incentive Plan, vesting in one year. /s/ Cynthia S. Miller 2012-05-21