SEC Form 4 · accession 0001209191-16-155025
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, 2016
Accepted (ET)
Dec 13, 2016 · 7:05 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 9, 2016 | M | 11,837 | $0.00 | A | 300,525 | D | |
| Common Stock | Dec 9, 2016 | F | 6,176 | $36.35 | D | 294,349 | D | |
| Common Stock | Dec 12, 2016 | G | 10,000 | $0.00 | D | 284,349 | 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 UnitsF4,F5,F6 | — | Dec 9, 2016 | M | 11,837 | D | — | — | Common Stock | 11,837 | 0 | D |
Explanation of responses
- F1Common Stock acquired on the vesting of Restricted Stock Units.
- F2Number of shares withheld for tax purposes.
- F3The reporting person transferred 10,000 shares of AMN Common Stock as a gift to charity.
- F4The Restricted Stock Units identified in this row were granted pursuant to the AMN Healthcare Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of AMN Common Stock.
- F5The Restricted Stock Units were granted on December 9, 2013 and vest on the third anniversary of the grant date. Each Restricted Stock Unit represents a contingent right to receive one share of AMN Common Stock.
- F6Restricted Stock Units do not have an expiration date.