SEC Form 4 · accession 0001247524-15-000181
Surgical Care Affiliates, Inc. · SCAI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas C Geiser
Director
Period of report
Jun 4, 2015
Accepted (ET)
Jun 8, 2015 · 4:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001411574
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | Jun 4, 2015 | A | 1,956 | $0.00 | A | 8,328 | D | |
| Common StockF3 | holding | — | — | — | 97,560 | I | See Explanation of Responses |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Grant of Restricted Stock Units, vesting ratably on June 4, 2016 and June 4, 2017, pursuant to the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan (as amended, the "Plan"), which is exempt under Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended.
- F2All of the Restricted Stock Units ("RSUs") are subject to time-based vesting. As of June 4, 2015, 3,027 of the RSUs were vested, with the remaining RSUs vesting on the following schedule: 1,168 RSUs vesting on June 30, 2015, 1,009 RSUs vesting on July 1, 2015, 978 RSUs vesting on June 4, 2016, 1,168 RSUs vesting on June 30, 2016 and 978 RSUs vesting on June 4, 2017. Each vested RSU is settled on the earlier of the individual's termination of employment (as defined in the Plan) or a change in control.
- F3Mr. Geiser is a trustee of The Geiser Schweers Family Trust u/a/d 6/8/98, as amended, which is the sole member of TDK Management Company, LLC, which is the general partner of TDK Properties, L.P., which directly owns 97,560 shares of Common Stock of the issuer.