SEC Form 4 · accession 0001209191-16-152785

Envision Healthcare Holdings, Inc. · EVHC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — EVP, CSO & Treasurer

Period of report

Dec 1, 2016

Accepted (ET)

Dec 1, 2016 · 7:01 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001578318

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Option (Right to buy)^F2,F3	$21.99	Dec 1, 2016	D	27,840	D	—	Feb 24, 2026	Common Stock	27,840	D
Option (Right to buy)^F2	$3.19	Dec 1, 2016	D	3,977	D	—	Mar 12, 2019	Common Stock	3,977	D
Option (Right to buy)^F2	$6.06	Dec 1, 2016	D	8,323	D	—	May 18, 2020	Common Stock	8,323	D
Option (Right to buy)^F2	$3.69	Dec 1, 2016	D	152,575	D	—	May 22, 2021	Common Stock	152,575	D

F1Disposition pursuant to the terms of the Agreement and Plan of Merger, dated as of June 15, 2016, by and among Envision Healthcare Holdings, Inc., New Amethyst Corp. and AmSurg Corp. (the "Merger Agreement"), exempt under Rule 16b-3.
F2Pursuant to the terms of the Merger Agreement, at the Merger 2 Effective Time, each stock option held by the reporting person immediately prior to the Merger 2 Effective Time (as defined in the Merger Agreement) was assumed by New Amethyst and converted into a New Amethyst stock option having the same terms and conditions, taking into account any changes thereto by reason of the Mergers (as defined in the Merger Agreement).
F3These stock options are scheduled to vest in three installments on each of the first three anniversaries of February 24, 2016, subject to the Reporting Person's continued employment.