SEC Form 4 · accession 0001181431-15-002567
AMN HEALTHCARE SERVICES INC · AMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ralph Henderson
Officer — President, Healthcare Staffing
Period of report
Feb 12, 2015
Accepted (ET)
Feb 17, 2015 · 12:58 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001142750
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 12, 2015 | M | 37,782 | $8.71 | A | 111,110 | D | |
| Common Stock | Feb 12, 2015 | D | 15,671 | $21.00 | D | 95,439 | D | |
| Common Stock | Feb 12, 2015 | F | 11,537 | $21.00 | D | 83,902 | D | |
| Common Stock | Feb 12, 2015 | M | 62,854 | $8.775 | A | 146,756 | D | |
| Common Stock | Feb 12, 2015 | D | 26,264 | $21.00 | D | 120,492 | D | |
| Common Stock | Feb 12, 2015 | F | 19,092 | $21.00 | D | 101,400 | D | |
| Common StockF3 | Feb 13, 2015 | S | 2,272 | $21.0136 | D | 99,128 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF6,F4 | $8.775 | Feb 12, 2015 | M | 62,854 | D | — | Feb 2, 2020 | Common Stock | 62,854 | 0 | D |
| Stock Appreciation RightsF6,F5 | $8.71 | Feb 12, 2015 | M | 37,782 | D | — | Jan 7, 2019 | Common Stock | 37,782 | 0 | D |
Explanation of responses
- F1Number of shares withheld for tax purposes.
- F2The sale of 2,272 shares of common stock reported on this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
- F3The price reported in Column 4 represents a weighted average price of $21.0136 per share. These shares were sold in multiple transactions at prices ranging from $21.00 to $21.07, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price.
- F4The Stock Appreciation Rights set forth in this row were granted on February 2, 2010 pursuant to the AMN Healthcare Equity Plan. The Stock Appreciation Rights vested over three years on the anniversary of the grant date in increments of 33%, 34% and 33%, respectively.
- F5The Stock Appreciation Rights set forth in this row were granted on January 7, 2009 pursuant to the AMN Healthcare Equity Plan. The Stock Appreciation Rights vested over three years on the anniversary of the grant date in increments of 33%, 34% and 33%, respectively.
- F6The exercise of the derivative securities reported on this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.