- Statement of Changes in Beneficial Ownership (4)
December 16 2010 - 7:47PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Sanger William A
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2. Issuer Name
and
Ticker or Trading Symbol
Emergency Medical Services CORP
[
EMS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman and CEO
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(Last)
(First)
(Middle)
C/O EMERGENCY MEDICAL SERVICES CORP., 6200 S. SYRACUSE WAY, SUITE 200
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/12/2010
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(Street)
GREENWOOD VILLAGE, CO 80111-4737
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock
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3/12/2010
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F
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5136
(1)
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D
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$55.16
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202364
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D
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Class A Common Stock
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12/14/2010
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M
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66700
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A
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$6.67
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269064
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D
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Class A Common Stock
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12/14/2010
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S
(2)
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34200
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D
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$60.2342
(3)
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234864
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D
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Class A Common Stock
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12/14/2010
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S
(2)
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15800
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D
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$61.7692
(4)
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219064
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D
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Class A Common Stock
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12/14/2010
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S
(2)
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7400
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D
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$62.4608
(5)
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211664
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D
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Class A Common Stock
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12/14/2010
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S
(2)
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9300
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D
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$63.1157
(6)
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202364
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock option (right to buy)
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$6.67
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12/14/2010
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M
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66700
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(7)
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2/10/2015
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Class A Common Stock
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66700
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$0
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498168
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D
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Explanation of Responses:
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(
1)
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Represents the withholding of shares upon the vesting of restricted stock on March 12, 2010 to satisfy income tax obligations, as disclosed in the issuer's Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.
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(
2)
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This sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 16, 2010.
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(
3)
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The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $59.90 to $60.84, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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(
4)
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The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $61.09 to $61.965, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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(
5)
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The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $62.00 to $62.68, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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(
6)
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The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $63.00 to $63.32, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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(
7)
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The option is fully vested.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Sanger William A
C/O EMERGENCY MEDICAL SERVICES CORP.
6200 S. SYRACUSE WAY, SUITE 200
GREENWOOD VILLAGE, CO 80111-4737
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X
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Chairman and CEO
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Signatures
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/s/ Carl F. Berglind, as attorney-in-fact
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12/16/2010
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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