SEC Form 4 · accession 0001209191-16-152793

Envision Healthcare Holdings, Inc. · EVHC

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

Reporting owner

Officer — SVP, Gen. Counsel & Secretary

Period of report

Dec 1, 2016

Accepted (ET)

Dec 1, 2016 · 7:09 pm EST

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 Stock^F2	Dec 1, 2016	D	15,245	—	D	0	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Option (Right to buy)^F3,F4	$21.99	Dec 1, 2016	D	29,713	D	—	Feb 24, 2026	Common Stock	29,713	D
Option (Right to buy)^F3	$3.69	Dec 1, 2016	D	48,783	D	—	May 22, 2021	Common Stock	48,783	D
Option (Right to buy)^F5,F3	$38.60	Dec 1, 2016	D	1,567	D	—	Mar 20, 2025	Common Stock	1,567	D
Option (Right to buy)^F3	$23.00	Dec 1, 2016	D	6,521	D	—	Aug 13, 2023	Common Stock	6,521	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 share of common stock 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 share of common stock having the same terms and conditions, taking into account any changes thereto by reason of the Mergers (as defined in the Merger Agreement).
F3Pursuant 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).
F4These 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.
F5Revised from 1,568 in previous filing to properly reflect rounding.