SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Pepia John C

(Last) (First) (Middle)
1301 CONCORD TERRACE

(Street)
SUNRISE FL 33323

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/07/2016
3. Issuer Name and Ticker or Trading Symbol
MEDNAX, INC. [ MD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Principal Accounting Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 28,304(1)(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to Buy) 06/01/2010 06/01/2017 Common Stock 2,500(3) 28.545 D
Stock Options (Right to Buy) 06/01/2011 06/02/2018 Common Stock 12,000(4) 27.715 D
Explanation of Responses:
1. Includes 1,121 restricted shares granted pursuant to Issuer's 2008 Amended and Restated Incentive Compensation Plan, as amended ("ICP") which will vest on June 1, 2017. Also includes 1,840 restricted shares granted pursuant to Issuer's ICP which will vest in equal installments on June 1, 2017 and June 1, 2018. Also includes 3,310 restricted shares granted pursuant to Issuer's ICP which will vest in three installments on June 1, 2017, June 1, 2018 and June 1, 2019.
2. Includes 13,111 shares directly owned by Reporting Person and 8,922 shares that were acquired by Reporting Person through Issuer's Employee Stock Purchase Plan.
3. Stock Options granted under Issuer's 2004 Incentive Compensation Plan.
4. Stock Options granted under Issuer's 2008 Incentive Compensation Plan.
Remarks:
Dominic J. Andreano, Attorney-in-Fact 08/12/2016
** 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 5 (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.
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