SEC Form 4 · accession 0000904454-19-000003
Surgery Partners, Inc. · SGRY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jennifer Baldock
Officer — Sr. VP, Gen Couns. & Sec.
Period of report
Dec 31, 2018
Accepted (ET)
Jan 3, 2019 · 4:39 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 StockF1 | Dec 31, 2018 | A | 2,228 | $0.00 | A | 90,676 | D | |
| Common StockF2 | Dec 31, 2018 | F | 543 | $9.87 | D | 90,133 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents performance-based restricted stock units granted to the Reporting Person in August 2016, which vested on December 31, 2018.
- F2Shares withheld by the Issuer to staisfy the Reporting Person's tax withholding obligation in connection with the vesting of the performance-based restricted stock units reported above.