0001209191-13-004911.txt : 20130129 0001209191-13-004911.hdr.sgml : 20130129 20130129160728 ACCESSION NUMBER: 0001209191-13-004911 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130129 DATE AS OF CHANGE: 20130129 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: 13555459 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: 0512 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 X0306 5 2012-12-31 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 53387 D /s/ Billie A. Payne 2013-01-29