SEC Form 4 · accession 0001209191-15-084739
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
Dec 9, 2015
Accepted (ET)
Dec 11, 2015 · 5:05 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 | Dec 10, 2015 | M | 18,264 | $0.00 | A | 356,266 | D | |
| Common Stock | Dec 10, 2015 | F | 9,530 | $30.835 | D | 346,736 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF3,F4,F5 | — | Dec 9, 2015 | A | 33,461 | A | — | — | Common Stock | 33,461 | 33,461 | D |
Explanation of responses
- F1Common Stock acquired on the vesting of Restricted Stock Units.
- F2Number of shares withheld for tax purposes.
- F3The Restricted Stock Units were granted pursuant to the AMN Healthcare Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock.
- F4The Restricted Stock Units were granted on December 9, 2015 and vest on the third anniversary of the grant date, provided, however, the Restricted Stock Units shall vest on an accelerated basis thirteen months after the grant date, in the incremental amount of 33% should the Company achieve or exceed a certain specified earnings before interest, taxes, depreciation and amortization (EBITDA) target for the 2016 fiscal year, and on the second anniversary of the grant date in the amount of 34% should the Company achieve or exceed the specified EBITDA target for the 2017 fiscal year.
- F5Restricted Stock Units do not have an expiration date.