Surgical Care Affiliates, Inc. 4

4 · Surgical Care Affiliates, Inc. · Filed Sep 18, 2014

Form 4

Period: 2014-09-17

Chief Financial Officer

Transactions

Award
Options to Purchase Common Stock
2014-09-17+21,106→ 21,106 total
Exercise: $29.02Exp: 2024-09-17→ Common Stock (21,106 underlying)
Award
Common Stock
2014-09-17+15,679→ 35,679 total

Holdings

Options to Purchase Common Stock
Exercise: $9.64Exp: 2021-12-08→ Common Stock (58,536 underlying)
58,536
Options to Purchase Common Stock
Exercise: $12.41Exp: 2023-05-06→ Common Stock (21,951 underlying)
21,951
Options to Purchase Common Stock
Exercise: $12.10Exp: 2021-12-08→ Common Stock (87,805 underlying)
87,805

Footnotes (7)

[F1]Grant of Restricted Stock Units made to executive officers of the issuer pursuant to the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan, which is exempt under Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended.
[F2]Includes 15,679 shares of Common Stock underlying Restricted Stock Units of the issuer. The Restricted Stock Units are subject to time-based vesting in equal annual installments over a period of two years from September 17, 2014 and are settled on each applicable vesting date.
[F3]73,171 of the options are performance-based options and, as of September 16, 2013, became fully vested. The remaining 14,634 options are time-based options and, as of December 8, 2012, became fully vested.
[F4]All of the options are time-based options which are scheduled to vest in equal installments on December 8, 2013, December 8, 2014, December 8, 2015 and December 8, 2016.
[F5]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.
[F6]Grant of options made to executive officers of the issuer pursuant to the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan, which is exempt under Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended.
[F7]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.

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