SEC Filings

10-12G
AMSURG CORP filed this Form 10-12G on 03/11/1997
Entire Document
 
<PAGE>   42


                                   EXHIBIT A

                    INITIAL NOTICE OF INTEREST RATE ELECTION


         Pursuant to Section 2.06(a) of that Amended and Restated Loan
Agreement dated June 25, 1996 and executed between AmSurg Corp. ("Borrower")
and SunTrust Bank, Nashville, N.A. ("Lender"), the Borrower delivers this
Notice to Lender advising that it makes the following election for the interest
rate applicable to that an Advance under the Amended and Restated Revolving
Credit Note, which Advance is in the principal amount of $____________.


<TABLE>
         <S>     <C>
                 (a)      Effective date of selected interest rate:                        , 19    .  
                                                                    -----------------------    ---- 

                 (b)      Applicable Interest Rate selected
                              
                           ---
                          /  /    Base Rate
                          ---              
                              
                           ---
                          /  /    Libor-Based Rate
                          ---                     

                 (c)      if the Borrower has elected the Libor-Based Rate as the Applicable Interest Rate, then the
         Borrower designates the maturity for such rate as follows:

                              
                           ---
                          /  /    30 Days
                          ---            
                              
                           ---
                          /  /    60 Days
                          ---            
                              
                           ---
                          /  /    90 Days
                          --- 
</TABLE>


         All defined terms contained herein shall have the same meaning as set
forth in the Amended and Restated Loan Agreement.

         Submitted by Borrower to Lender as of this __________ day of
________________, 19___.


                                   AMSURG CORP.
                                   
                                   
                                   By:                                 
                                       --------------------------------
                                   
                                   Title:                              
                                          -----------------------------