SEC Form 4 · accession 0001181431-15-005095
Envision Healthcare Holdings, Inc. · EVHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dighton Packard
Officer — Chief Medical Officer
Period of report
Mar 20, 2015
Accepted (ET)
Mar 24, 2015 · 6:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001578318
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 20, 2015 | A | 516 | $0.00 | A | 161,301 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (Right to Buy)F2 | $38.60 | Mar 20, 2015 | A | 1,390 | A | — | Mar 20, 2025 | Common Stock | 1,390 | 1,390 | D |
Explanation of responses
- F1Represents restricted stock units that are scheduled to vest and settle into an equal number of shares of the Issuer's Common Stock, in two installments on each of the first two anniversaries of March 20, 2015, subject to the Reporting Person's continued employment.
- F2These stock options are scheduled to vest in two installments on each of the first two anniversaries of March 20, 2015, subject to the Reporting Person's continued employment.