0001209191-15-012725.txt : 20150212 0001209191-15-012725.hdr.sgml : 20150212 20150212162445 ACCESSION NUMBER: 0001209191-15-012725 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150212 DATE AS OF CHANGE: 20150212 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lavender Kevin P CENTRAL INDEX KEY: 0001291607 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36531 FILM NUMBER: 15606581 MAIL ADDRESS: STREET 1: C/O AMSURG CORPORATION STREET 2: 20 BURTON HILLS BLVD., 5TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37215 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2014-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0001291607 Lavender Kevin P C/O AMSURG 1A BURTON HILLS BLVD NASHVILLE TN 37215 1 0 0 0 Common stock 10853 D /s/ Kevin P. Lavender 2015-02-12