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)
| 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) 02/12/2020 | ||||||||||||||||||||||||||
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 | 02/12/2020 | M | 5,292 | A | $0.00 | 20,551(1) | D | |||
Common Stock | 02/12/2020 | F | 540 | D | $198.81 | 20,011(1) | D | |||
Common Stock | 02/12/2020 | A | 849(2) | A | $0.00 | 20,860(1) | D | |||
Common Stock | 506(3) | 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) | (4) | 02/12/2020 | M | 2,656 | (4) | (4) | Common Stock | 2,656 | $0.00 | 0 | D | ||||
Stock Option (Right to Buy) | $198.81 | 02/12/2020 | A | 2,023 | (5) | 02/12/2030 | Common Stock | 2,023 | $0.00 | 2,023 | D | ||||
Restricted Stock Unit (Performance-Based Vesting) | (6) | 02/12/2020 | A | 1,698 | (6) | (6) | Common Stock | 1,698 | $0.00 | 1,698 | D |
Explanation of Responses: |
1. Includes 246 shares held in an employee stock purchase plan account. |
2. The Issuer awarded the Reporting Person 849 time-based Restricted Stock Units ("RSUs"), each of which represents a contingent right to receive one share of the Issuer's common stock, and will vest in equal, 25% installments on each of February 12, 2021, 2022, 2023 and 2024, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to certain pro-rated vesting provisions as provided in the award agreement for the RSUs. |
3. The information in this report is based on a plan statement dated as of December 31, 2019. |
4. On February 20, 2019, the Reporting Person was awarded performance-based RSUs with vesting provisions based on certification of achievement of an identified performance measure for 2019, with additional time-based vesting in equal 25% installments on each of the certification date and February 20, 2021, 2022 and 2023, assuming the Reporting Person remains continuously employed on the vesting date. The amount reported in a Form 4 filed on February 22, 2019 was 2,656 RSUs, which was the amount of shares payable at target performance; the Reporting Person was eligible to earn 50%-200% of the amount reported depending on the level of performance achieved. On February 12, 2020, the Compensation Committee of the Issuer's Board of Directors certified achievement of the 2019 performance measure at 199.2%, thereby resulting in the Reporting Person earning 5,292 RSUs, which are reported in Table I. |
5. The Stock Options are subject to time-based vesting conditions and will vest in equal, 25% installments on each of February 12, 2021, 2022, 2023 and 2024, provided that the Reporting Person remains continuously employed by the Issuer on each such date, subject to pro-rated vesting provisions as provided in the award agreement for the Stock Options. |
6. The performance-based RSUs will vest based on certification of achievement of an identified performance measure for 2020, with additional time-based vesting in equal 25% installments on each of the certification date and February 12, 2022, 2023 and 2024, assuming the Reporting Person remains continuously employed on the vesting date. The amount reported represents the amount of shares payable at target performance; the Reporting Person could earn 50%-200% of the amount reported depending on the level of performance achieved. |
Remarks: |
General Counsel and Senior Vice President of Government Affairs |
/s/ Jennifer R. Guckert, pursuant to a power of attorney | 02/14/2020 | |
** 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. |