UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Options (Right to Buy) | 06/02/2011 | 06/02/2018 | Common Stock | 1,667 (3) | $ 55.43 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hawk William C 1301 CONCORD TERRACE SUNRISE, FL 33323 |
 |  |  COO American Anesthesiology |  |
Dominic J. Andreano, Attorney-in-fact | 07/10/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Includes 1,064 shares of restricted stock granted on June 1, 2011 pursuant to Issuer's 2008 Incentive Compensation Plan ("2008 ICP"), that will vest on June 1, 2014, 2,582 shares of restricted stock granted on June 1, 2012 pursuant to Issuer's Amended and Restated 2008 Incentive Compensation Plan ("2008 ARICP") that will vest in equal installments on June 1, 2014 and June 1, 2015 and 2,962 shares of restricted stock granted on June 1, 2013 pursuant to Issuer's 2008 ARICP that will vest in three installments on June 1, 2014, June 1, 2015 and June 1, 2016. |
(2) | Includes 1573.206 shares acquired by the Reporting Person through Issuer's Employee Stock Purchase Plan. |
(3) | Stock Options granted on June 2, 2008 pursuant to Issuer's 2008 ICP. |