SEC Form 4 · accession 0000904454-18-000245
Surgery Partners, Inc. · SGRY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Clifford G Adlerz
Officer — Interim CEO
Period of report
Mar 16, 2018
Accepted (ET)
Mar 20, 2018 · 4:42 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001638833
Table I — non-derivative securities
No Table I lines on this filing.
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 | $17.15 | Mar 16, 2018 | A | 10,000 | A | — | Mar 16, 2028 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1The Stock Option will vest as to one-third of the shares on on each of the first, second and third anniversaries of the date of grant, rounded down to the nearest whole share, with the Stock Option becoming vested as to 100% of the shares on the final vesting date, subject to the Reporting Person's continuous service to the Issuer until each such vesting date.