Filing Details

Accession Number:
0000903423-13-000594
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-11-06 17:24:34
Reporting Period:
2013-11-04
Filing Date:
2013-11-06
Accepted Time:
2013-11-06 17:24:34
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1411574 Surgical Care Affiliates Inc. SCAI Services-Specialty Outpatient Facilities, Nec (8093) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1248908 P Andrew Hayek C/O Surgical Care Affiliates, Inc.
520 Lake Cook Road, Suite 250
Deerfield IL 60015
Chief Executive Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2013-11-04 24,391 $22.50 117,300 No 4 S Indirect See Explanation of Responses
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See Explanation of Responses
Footnotes
  1. The price of $22.50 represents the public offering price of $24.00 per share of Common Stock ("Common Stock") of Surgical Care Affiliates, Inc. (the "Issuer") less the underwriters' discount of $1.50 per share of Common Stock.
  2. As a result of the Issuer's conversion from a Delaware limited liability company, previously named ASC Acquisition LLC ("ASC"), to a Delaware corporation, including the conversion of membership units of ASC into shares of Common Stock of the Issuer at a conversion ratio of 10.25 membership units of ASC to one share of Common Stock of the Issuer, and the transactions reported herein, Mr. Hayek beneficially owns 117,300 shares of Common Stock of the Issuer, including 68,292 shares of Common Stock underlying Restricted Equity Units of the Issuer. The Restricted Equity Units were subject to time-based vesting over a period of five years from the date of grant and as of July 24, 2013 are fully vested. Each Restricted Equity Unit is settled on the earlier of the individual's termination of employment or change in control and may be settled in cash at the election of the Issuer's board of directors.
  3. Mr. Hayek is the sole trustee of the Andrew Hayek 2008 Living Trust, which directly owns all of the Common Stock reported herein.