SEC Form 4 · accession 0000904454-18-000025
Surgery Partners, Inc. · SGRY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wayne S DeVeydt
Officer — Chief Executive Officer · Director
Period of report
Jan 4, 2018
Accepted (ET)
Jan 8, 2018 · 4:04 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001638833
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 4, 2018 | A | 96,899 | $0.00 | A | 96,899 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $12.90 | Jan 4, 2018 | A | 700,000 | A | — | Jan 4, 2028 | Common Stock | 700,000 | 700,000 | D |
Explanation of responses
- F1Fifty percent of the options will vest in five equal annual installments on each of the first five anniversaries of 1/4/2018 (the "time condition"). Twenty-five percent of the options will vest based on satisfaction of the time condition and the achievement of an average closing price per share of the Issuer's Common Stock of $25.00 over a period of sixty consecutive trading days. The remaining twenty-five percent of the options will vest based on satisfaction of the time condition and the achievement of an average closing price per share of the Issuer's Common Stock of $35.00 over a period of sixty consecutive trading days.