SEC Form 4 · accession 0001209191-15-047761
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 27, 2015
Accepted (ET)
May 28, 2015 · 8:27 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 27, 2015 | M | 58,293 | $8.71 | A | 468,295 | D | |
| Common Stock | May 27, 2015 | D | 18,805 | $27.00 | D | 449,490 | D | |
| Common Stock | May 27, 2015 | F | 20,604 | $27.00 | D | 428,886 | D | |
| Common StockF3 | May 27, 2015 | S | 18,884 | $27.0455 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF5 | $8.71 | May 27, 2015 | M | 58,293 | D | — | Jan 7, 2019 | Common Stock | 58,293 | 0 | D |
Explanation of responses
- F1Number of shares withheld for tax purposes.
- F2The sale of 18,884 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 this row represents a weighted average price of $27.0455 per share. These shares were sold in multiple transactions at prices ranging from $27.00 to $27.10, 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 exercise of derivative securities reported in this row was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
- 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.