1. Name and Address of Reporting Person*CD&R Associates VIII, Ltd. |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Envision Healthcare Holdings, Inc. [ EVHC ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | |
|
3. Date of Earliest Transaction (Month/Day/Year) 03/11/2015 |
4. If Amendment, Date of Original Filed (Month/Day/Year)
| 6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*CD&R Associates VIII, Ltd. |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*CLAYTON DUBILIER & RICE FUND VIII LP |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*CD&R EMS Co-Investor, L.P. |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*CD&R Advisor Fund VIII Co-Investor, L.P. |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*CD&R FRIENDS & FAMILY FUND VIII LP |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
1. Name and Address of Reporting Person*CD&R Investment Associates VIII, Ltd. |
C/O MAPLES CORPORATE SERVICES LIMITED | P.O. BOX 309, UGLAND HOUSE |
(Street)
|
| CD&R Associates VIII, Ltd. By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| Clayton, Dubilier & Rice Fund VIII, L.P., its general partner By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| CD&R EMS Co-Investor, L.P., its general partner By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| CD&R Advisor Fund VIII Co-Investor, L.P., its general partner By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| CD&R Friends and Family Fund VIII, L.P., its general partner By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| CD&R Associates VIII, L.P., its general partner By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| CD&R Investment Associates VIII, Ltd. By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec. | 03/12/2015 |
| ** 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. |