SEC FORM 4 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*
Kadre Manuel

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

(Street)
SUNRISE FL 33323

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MEDNAX, INC. [ MD ]
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)
11/10/2016
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 11/10/2016 M 26,668 A $29.4 37,923 D
Common Stock 11/10/2016 M 5,174 A $32.325 43,097 D
Common Stock 11/10/2016 M 10,668 A $27.715 53,765 D
Common Stock 11/10/2016 M 17,584 A $18.91 71,349 D
Common Stock 11/10/2016 M 9,922 A $29.355 81,271 D
Common Stock 11/10/2016 M 8,280 A $36.25 89,551 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) 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
Stock Options (Right to Buy) $29.4 11/10/2016 M 26,668 05/08/2010 05/08/2017 Common Stock 26,668 $29.4 0 D
Stock Options (Right to Buy) $32.325 11/10/2016 M 5,174 11/01/2010 11/01/2017 Common Stock 5,174 $32.325 0 D
Stock Options (Right to Buy) $27.715 11/10/2016 M 10,668 05/23/2011 05/23/2018 Common Stock 10,668 $27.715 0 D
Stock Options (Right to Buy) $18.91 11/10/2016 M 17,584 05/06/2012 05/06/2019 Common Stock 17,584 $18.91 0 D
Stock Options (Right to Buy) $29.355 11/10/2016 M 9,922 05/06/2013 05/06/2020 Common Stock 9,922 $29.355 0 D
Stock Options (Right to Buy) $36.25 11/10/2016 M 8,280 05/05/2014 05/05/2021 Common Stock 8,280 $36.25 0 D
Explanation of Responses:
Remarks:
Dominic J. Andreano, Attorney-in-Fact 11/10/2016
** 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 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.