0001209191-13-004922.txt : 20130129 0001209191-13-004922.hdr.sgml : 20130129 20130129161037 ACCESSION NUMBER: 0001209191-13-004922 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: HOLDEN CHRISTOPHER A CENTRAL INDEX KEY: 0001188113 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 13555512 MAIL ADDRESS: STREET 1: 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 0001188113 HOLDEN CHRISTOPHER A 20 BURTON HILLS BLVD SUITE 500 NASHVILLE TN 37215 1 1 0 0 President and CEO Common stock 255199 D Employee stock option 23.26 2011-10-01 2017-10-01 Common stock 25000 25000 D Employee stock option 24.75 2012-02-21 2018-02-21 Common stock 23233 23233 D Options are to purchase shares of common stock and are now fully vested. /s/ Christopher A. Holden 2013-01-29