Filing Details

Accession Number:
0001590503-17-000016
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-01-18 15:14:54
Reporting Period:
2017-01-17
Filing Date:
2017-01-18
Accepted Time:
2017-01-18 15:14:54
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1411574 Surgical Care Affiliates Inc. SCAI () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1248908 P Andrew Hayek C/O Surgical Care Affiliates, Inc.
510 Lake Cook Road, Suite 400
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 2017-01-17 3,124 $11.18 278,660 No 4 M Indirect See Explanation of Responses
Common Stock Disposition 2017-01-17 3,124 $56.62 275,536 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 2017-01-17 3,124 $0.00 3,124 $11.18
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
120,597 2020-03-24 No 4 M Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 22,556 Indirect By Spouse of Reporting Person
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
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 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 230,436 shares of Common Stock underlying restricted stock units ("RSUs") of the issuer, all of which are subject to time-based vesting. As of the date hereof, 68,292 of the RSUs were vested and are settled on the earlier of the individual's termination of employment (as defined in the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan, as amended) or a change in control of the issuer. The remaining RSUs vest on the following schedule and are settled on each applicable vesting date: 13,637 RSUs vesting on March 2, 2017, 19,068 RSUs vesting on June 4, 2017, 25,198 RSUs vesting on September 17, 2017, 13,636 RSUs vesting on March 2, 2018, 19,068 RSUs vesting on June 4, 2018, 25,198 RSUs vesting on September 17, 2018, 13,636 RSUs vesting on March 2, 2019, 19,067 RSUs vesting on June 4, 2019 and 13,636 RSUs vesting on March 2, 2020.
  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.
  4. This price represents the weighted average sale price (rounded to the nearest cent) for multiple transactions reported on this line. The prices of the transactions reported on this line ranged from $56.60 to $56.65. Upon request by the Commission staff, the issuer or a security holder of the issuer, the reporting person will undertake to provide full information regarding the number of shares sold at each separate price.
  5. This line contains a combination of both time-based and performance-based options which, as of September 16, 2013, were fully vested.
  6. All of the options are time-based options which, as of March 24, 2015, were fully vested.
  7. The option provides for vesting in equal annual installments on May 6, 2014, May 6, 2015, May 6, 2016 and May 6, 2017.
  8. The option provides for vesting in equal annual installments on September 17, 2015, September 17, 2016, September 17, 2017 and September 17, 2018.
  9. The option provides for vesting in equal annual installments on June 4, 2016, June 4, 2017, June 4, 2018 and June 4, 2019.