Form 4 TEAM HEALTH HOLDINGS For: Jul 10 Filed by: Fry Patrick
July 13, 2015 5:42 PM EDT
| 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
|
| OMB APPROVAL |
| OMB Number: |
3235-0287 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
|
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
TEAM HEALTH HOLDINGS INC.
[
TMH
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
3. Date of Earliest Transaction
(Month/Day/Year)
07/10/2015
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
|---|
| 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
|
07/10/2015 |
07/10/2015 |
A |
|
1,085
|
A
|
$
0
|
1,085
|
D
|
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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)
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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 |
| Explanation of Responses: |
|
|
/s/ John R. Stair, attorney-in-fact for Mr. Fry |
07/13/2015 |
|
** 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. |
POWER OF ATTORNEY
Know all by these
presents that Patrick E. Fry,
does hereby make, constitute
and appoint Heidi S. Allen,
David P. Jones, John Stair,
Derrick Helton and Arthur
Carpentier, or any one of them,
as a true and lawful attorney-in-fact
of the undersigned with full powers
of substitution and revocation, for
and in the name, place and stead of
the undersigned (in the undersigned?s
individual capacity), to execute and
deliver such forms that the undersigned
may be required to file with the
U.S. Securities and Exchange Commission
as a result of the undersigned?s
ownership of or transactions in
securities of Team Health Holdings
Inc. (i) pursuant to Section 16(a)
of the Securities Exchange Act of 1934,
as amended, including without
limitation, statements on Form 3,
Form 4 and Form 5 (including any
amendments thereto) and (ii) in
connection with any applications
for EDGAR access codes, including
without limitation the Form ID.
The Power of Attorney shall remain
in full force and effect until
the undersigned is no longer
required to file Forms 3, 4 and
5 with regard to the undersigned?s
ownership of or transactions in
securities of Team Health Holdings Inc.,
unless earlier revoked in writing. The
undersigned acknowledges that Heidi S.
Allen, David P. Jones, John Stair,
Derrick Helton and Arthur
Carpentier are not assuming
any of the undersigned?s responsibilities
to comply with Section 16 of
the Securities Exchange Act of 1934.
By: /s/ Patrick E. Fry
Date: June 26, 2015
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