Filing Details

Accession Number:
0001247524-15-000294
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-12-02 16:36:51
Reporting Period:
2015-11-30
Filing Date:
2015-12-02
Accepted Time:
2015-12-02 16:36:51
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 Acquisiton 2015-11-30 55 $10.25 294,418 No 4 M Indirect See Explanation of Responses
Common Stock Disposition 2015-11-30 55 $38.00 294,363 No 4 S Indirect See Explanation of Responses
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Indirect See Explanation of Responses
No 4 S Indirect See Explanation of Responses
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Options to Purchase Common Stock Disposition 2015-11-30 55 $0.00 55 $10.25
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
216,846 2018-04-21 No 4 M Indirect
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Options to Purchase Common Stock $11.18 2020-03-24 175,610 175,610 Indirect
Common Stock Options to Purchase Common Stock $8.72 2020-03-24 43,902 43,902 Indirect
Common Stock Options to Purchase Common Stock $12.41 2023-05-06 182,926 182,926 Indirect
Common Stock Options to Purchase Common Stock $29.02 2024-09-17 135,682 135,682 Indirect
Common Stock Options to Purchase Common Stock $38.35 2025-06-04 102,113 102,113 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2020-03-24 175,610 175,610 Indirect
2020-03-24 43,902 43,902 Indirect
2023-05-06 182,926 182,926 Indirect
2024-09-17 135,682 135,682 Indirect
2025-06-04 102,113 102,113 Indirect
Footnotes
  1. Includes 194,959 Restricted Stock Units ("RSUs"), all of which are subject to time-based vesting. As of November 30, 2015, 68,292 of the RSUs were vested and are settled on the earlier of the individual's termination of employment or a change in control and the remaining 126,667 RSUs vest in equal annual installments over a period of four years from their respective grant dates and are settled on each applicable vesting date.
  2. Mr. Hayek is the sole trustee of the Andrew Hayek 2008 Living Trust, which directly owns all of the securities reported on this line.
  3. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 30, 2015.
  4. 180,487 of the options are performance-based options and, as of September 16, 2013, became fully vested. The remaining 36,359 options are time-based options and, as of July 24, 2013, became fully vested.
  5. 109,756 of the options are performance-based options and, as of September 16, 2013, became fully vested. The remaining 65,854 options are time-based options which, as of March 24, 2013, were fully vested.
  6. All of the options are time-based options which, as of March 24, 2015, were fully vested.
  7. All of the options are time-based options which are scheduled to vest in equal installments on May 6, 2014, May 6, 2015, May 6, 2016 and May 6, 2017.
  8. All of the options are time-based options which are scheduled to vest in equal installments on September 17, 2015, September 17, 2016, September 17, 2017 and September 17, 2018.
  9. All of the options are time-based options which are scheduled to vest in equal installments on June 4, 2016, June 4, 2017, June 4, 2018 and June 4, 2019.