SEC Filings

10-12G/A
AMSURG CORP filed this Form 10-12G/A on 11/03/1997
Entire Document
 
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(11) Includes currently exercisable options for the purchase of 235,333 shares
     of Class A Common Stock.
(12) The address of Mr. Cigarran is One Burton Hills Blvd., Nashville, TN 37215.
(13) Represents 8,460 shares held in trust for the benefit of Mr. Geringer's
     son.
   
(14) Includes 21,000 shares owned by The Endoscopy Center, Knoxville, Tennessee,
     and 10,000 shares owned by Gastrointestinal Associates, P.C. Dr. Overholt
     is a partner of the Endoscopy Center and President of Gastrointestinal
     Associates, P.C. Also, includes currently exercisable options for the
     purchase of 2,500 shares of Class A Common Stock, 23,583 shares held in
     trust for Dr. Overholt's grandchildren, and 2,924 shares for which Dr.
     Overholt is custodian on behalf of a minor.
    
 
                                PREFERRED STOCK
 

<TABLE>
<CAPTION>
                                                  SERIES A                       SERIES B
                                                 REDEEMABLE       PERCENT       CONVERTIBLE      PERCENT
NAME AND ADDRESS                               PREFERRED STOCK    OF CLASS    PREFERRED STOCK    OF CLASS
- ----------------                               ---------------    --------    ---------------    --------
<S>                                            <C>                <C>         <C>                <C>
Electra Investment Trust P.L.C.(1)...........      363,637          72.7%         303,030          72.7%
Capitol Health Partners, L.P.(2)(3)..........       90,909          18.2           75,757          18.2
Michael E. Stephens(4).......................       45,454           9.1           37,879           9.1
Ken P. McDonald..............................            0            --                0            --
Claire M. Gulmi..............................            0            --                0            --
Royce D. Harrell.............................            0            --                0            --
Rodney H. Lunn...............................            0            --                0            --
David L. Manning.............................            0            --                0            --
Thomas G. Cigarran...........................            0            --                0            --
James A. Deal................................            0            --                0            --
Steven I. Geringer...........................            0            --                0            --
Debora A. Guthrie(5).........................            0            --                0            --
Henry D. Herr................................            0            --                0            --
Bergein F. Overholt, M.D.....................            0            --                0            --
All directors and executive officers as a
  group (11 persons)(5)......................       90,909          18.2%          75,757          18.2%
</TABLE>

 
- ---------------
 
   
(1) The address for Electra Investment Trust P.L.C. is 65 Kingsway, London,
    England WC 2B6QT.
    
   
(2) The address for Capitol Health Partners, L.P. is 3000 P Street, N.W.,
    Washington, D.C. 20005.
    
(3) Shares beneficially owned by Capitol Health Partners, L.P. are attributable
    to Ms. Guthrie, who is President and Chief Executive Officer of the general
    partner of Capitol Health Partners, L.P., and are included in the shares
    beneficially held by directors and executive officers as a group.
(4) The address for Michael E. Stephens is One Perimeter Park South, Suite 100N,
    Birmingham, AL 35243.
(5) Ms. Guthrie disclaims beneficial ownership of the shares held by Capitol
    Health Partners, L.P.
 
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