SEC Form 4 · accession 0001209191-15-041221
AMN HEALTHCARE SERVICES INC · AMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan R Salka
Officer — President and CEO · Director
Period of report
May 7, 2015
Accepted (ET)
May 11, 2015 · 5:11 pm EDT
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 | May 7, 2015 | M | 30,823 | $16.18 | A | 440,825 | D | |
| Common Stock | May 7, 2015 | D | 19,949 | $25.00 | D | 420,876 | D | |
| Common Stock | May 7, 2015 | F | 5,674 | $25.00 | D | 415,202 | D | |
| Common Stock | May 7, 2015 | M | 58,293 | $8.71 | A | 473,495 | D | |
| Common Stock | May 7, 2015 | D | 20,310 | $25.00 | D | 453,185 | D | |
| Common Stock | May 7, 2015 | F | 19,819 | $25.00 | D | 433,366 | D | |
| Common Stock | May 8, 2015 | S | 23,364 | $25.00 | D | 410,002 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF4 | $16.18 | May 7, 2015 | M | 30,823 | D | — | Apr 8, 2018 | Common Stock | 30,823 | 30,823 | D |
| Common StockF5 | $8.71 | May 7, 2015 | M | 58,293 | D | — | Jan 7, 2019 | Common Stock | 58,293 | 58,293 | D |
Explanation of responses
- F1Number of shares withheld for tax purposes.
- F2The sale of 23,364 shares of common stock reported in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
- F3The exercise of the derivative securities reported in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
- F4The Stock Appreciation Rights set forth in this row were granted on April 8, 2008 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.