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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
LP Exchangeable Units | (1) | 05/25/2011 | D | 56,064 | 12/20/2005 | (2) | Class A Common Stock | 56,064 | (3) | 0 | I | by Onex US Principals LP and Onex EMSC Co-Invest LP (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LEBLANC ROBERT M C/O ONEX INVESTMENT CORPORATION 712 FIFTH AVENUE NEW YORK, NY 10019 |
X |
/s/ Carl F. Berglind, as attorney-in-fact | 05/26/2011 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The LP Exchangeable Units represent equity interests in Emergency Medical Services L.P. Each LP Exchangeable Unit is exchangeable at any time, at the option of the holder, for one share of the issuer's Class B Common Stock. Each share of Class B Common Stock is convertible at any time, at the option of the holder, into one share of the issuer's Class A Common Stock. |
(2) | Not applicable. |
(3) | Disposed of pursuant to the merger agreement dated as of February 13, 2011, by and among the issuer, CDRT Acquisition Corporation and CDRT Merger Sub, Inc. in exchange for the merger consideration of $64.00 per share in cash. |
(4) | Mr. LeBlanc does not hold these units directly. These are deemed shares of Class B common stock and include (i) 35,814 LP Exchangeable Units held by Onex US Principals LP, which may be deemed owned beneficially by Mr. LeBlanc by reason of his pecuniary interest in the LP Exchangeable Units owned by Onex US Principals LP and (ii) 20,250 LP Exchangeable Units owned by Onex EMSC Co-Invest LP, which may be deemed to be owned beneficially by Mr. LeBlanc by reason of his pecuniary interest in Onex EMSC Co-Invest LP. Mr. LeBlanc disclaims beneficial ownership of the LP Exchangeable Units owned by Onex US Principals LP and Onex EMSC Co-Invest LP. |