SEC Form 4 · accession 0000895930-16-000129
AMSURG CORP · AMSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Claire M Gulmi
Officer — Executive VP & CFO · Director
Period of report
Feb 2, 2016
Accepted (ET)
Feb 4, 2016 · 6:14 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000895930
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Feb 2, 2016 | A | 8,597 | $0.00 | A | 106,017 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted stock unitsF3,F1,F2 | — | Feb 2, 2016 | A | 5,731 | A | — | — | Common stock | 5,731 | 0 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive between .50 and 1.50 shares of AmSurg Corp. common stock.
- F2Performance-based RSUs awarded on February 2, 2016 that may be earned only to the extent the established performance criteria are met. These RSUs vest in three equal annual installments.
- F3This amount represents the total number of derivative securities beneficially owned of the class shown.