SEC Form 4 · accession 0001247524-15-000249
Surgical Care Affiliates, Inc. · SCAI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Curtis Lane
Director
Period of report
Aug 28, 2015
Accepted (ET)
Aug 31, 2015 · 10:22 am 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 |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 28, 2015 | M | 11,707 | $10.25 | A | 20,035 | D | |
| Common StockF1 | Aug 28, 2015 | F | 3,267 | $36.73 | D | 16,768 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF2 | $10.25 | Aug 28, 2015 | M | 11,707 | D | — | Sep 9, 2015 | Common Stock | 11,707 | 0 | D |
| Options to Purchase Common StockF3 | $10.66 | holding | — | — | — | — | Jul 23, 2016 | Common Stock | 11,256 | 11,256 | D |
| Options to Purchase Common StockF4 | $11.18 | holding | — | — | — | — | Jul 1, 2020 | Common Stock | 10,740 | 10,740 | D |
| Options to Purchase Common StockF5 | $12.10 | holding | — | — | — | — | Jul 1, 2021 | Common Stock | 9,921 | 9,921 | D |
Explanation of responses
- F1Includes 8,328 shares of Common Stock underlying Restricted Stock Units ("RSUs") of the issuer. All of the RSUs are subject to time-based vesting. As of August 28, 2015, 5,204 of the RSUs were vested, with the remaining RSUs vesting on the following schedule: 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 or a change in control.
- F2The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2009 and became exercisable on September 16, 2013.
- F3The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2010 and became exercisable on September 16, 2013.
- F4The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2011 and became exercisable on September 16, 2013.
- F5The options became vested as to all of the shares of Common Stock underlying such options on June 29, 2012 and became exercisable on September 16, 2013.