SEC Filings

10-12G/A
AMSURG CORP filed this Form 10-12G/A on 11/03/1997
Entire Document
 
<PAGE>   52


                          EXHIBIT A TO LOAN AGREEMENT

                               BORROWING REQUEST


VIA  FAX (615) 748-4611
ATTN: LEIGH ANN GREGORY
SunTrust Bank, Nashville, N.A., Agent



Date:_____________________________, _______

                 Re: Second Amended and Restated Loan Agreement dated April 15,
                 1997 by and among AmSurg Corp., the lenders listed therein and
                 SunTrust Bank, Nashville, N.A., as Agent (as may be amended
                 from time to time, the "Loan Agreement")


Capitalized terms not otherwise defined in this request have the same meaning
as in the Loan Agreement.  The individual signing this request certifies that
(i) he or she is an individual authorized by the Borrower to submit Borrowing
Requests to the Agent pursuant to the Loan Agreement, (ii) the undersigned
hereby irrevocably gives notice of and requests, pursuant to Section 2.03 of
the Loan Agreement, an Advance under the Loan Agreement (the "Proposed
Advance"), and (iii) the amount of the Proposed Advance is available to the
Borrower pursuant to the Loan Agreement.  The information below relates to the
Proposed Advance:

1.       AMOUNT OF PROPOSED
         ADVANCE:
                 ---------------------------------------------------------------

2.       DATE OF PROPOSED
         ADVANCE:
                 ---------------------------------------------------------------

3.       DESIGNATION OF
         ADVANCES:
                  --------------------------------------------------------------


<TABLE>
                 <S>                                                <C>
                 Base Rate Advance         $                        (Multiples of $100,000 and minimums of $100,000)
                                            ------------------------                                                

                 LIBOR Based Rate Advance $                         (Multiples of $100,000 and minimums of $100,000)
                                           -------------------------                                                
</TABLE>


Borrowing Requests must be given prior to 11:00 a.m. (local time for Agent) two
(2) Business Days prior to the Proposed Advance for Libor Based Rate Advances
and on the same day of the Proposed Advances for Base Rate Advances.  All
Borrowing Requests received after 11:00 a.m. shall be deemed received on the
next Business Day.

4.       For LIBOR Based Rate Advances, the LIBOR Based Rate Period (indicate
         one):

(a)              30 DAYS                   60 DAYS                  90 DAYS
    -------------         -----------------        -----------------