SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
AMEDISYS INC [ AMED ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/01/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/01/2023 | M | 5,777(1) | A | $0 | 370,523(2)(3) | D | |||
Common Stock | 02/01/2023 | F | 2,274 | D | $97 | 368,249(2)(3) | D | |||
Common Stock | 83,764 | I | By Trust | |||||||
Common Stock | 621(4) | I | Through 401(k) Plan |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Unit (Performance-Based Vesting) | (1) | 02/01/2023 | M | 5,777 | (1) | (1) | Common Stock | 5,777 | $0 | 0 | D |
Explanation of Responses: |
1. On January 6, 2022, the Reporting Person was awarded performance-based Restricted Stock Units ("RSUs") with vesting provisions based on certification of achievement of an identified performance measure for 2022. On February 1, 2023, the Compensation Committee of the Issuer's Board of Directors certified achievement of the Reporting Person's 2022 performance measure, thereby resulting in the Reporting Person earning 5,777 RSUs. |
2. On January 2, 2019, the Reporting Person was granted 73,638 RSUs subject to performance-based vesting based on achievement of identified performance goals for each of fiscal years 2019 through 2021 (1/3 of the RSUs were to vest based on achievement of the 2019 performance goal, 1/3 of the RSUs were to vest based on achievement of the 2020 performance goal and 1/3 of the RSUs were to vest based on achievement of the 2021 performance goal) provided that Mr. Kusserow did not incur a termination of employment prior to December 16, 2021. On February 12, 2020, the Compensation Committee certified achievement of the 2019 performance goal, and 24,546 RSUs were moved to Table I on such date. [Continued in footnote 3] |
3. [Continued from footnote 2]: On February 17, 2021, the Compensation Committee certified achievement of the 2020 performance goal, and 24,546 RSUs were moved to Table I on such date. On February 17, 2022, the Compensation Committee determined that the 2021 performance goal was not met, resulting in the forfeiture of the remaining RSUs, and the aggregate of the 49,092 earned RSUs were moved to Table I (a second time). As a result, such shares were inadvertently included twice in the total amounts reported in Column 5 on the Reporting Person's Form 4s filed on February 22, 2022, January 4, 2023 and January 10, 2023. This Form 4 reflects the corrected total beneficial ownership for the Reporting Person. |
4. The information in this report is based on a plan statement dated as of December 31, 2022. |
Remarks: |
/s/ Jennifer R. Guckert, pursuant to a power of attorney | 02/03/2023 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |