SEC Form 4 · accession 0001209191-17-006516
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
Jan 30, 2017
Accepted (ET)
Jan 31, 2017 · 7:58 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 | Jan 30, 2017 | A | 80,477 | $0.00 | A | 364,826 | D | |
| Common Stock | Jan 30, 2017 | F | 40,101 | $36.2625 | D | 324,725 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Restricted Stock UnitsF3,F4,F5 | — | Jan 30, 2017 | M | 80,477 | D | — | — | Common Stock | 80,477 | 0 | D |
Explanation of responses
- F1The acquisition of Common Stock set forth in this row resulted from the deferred release of a Performance Restricted Stock Unit ("PRSU") award that vested on January 5, 2016. In 2013, the reporting person elected to defer receipt of these PRSUs pursuant to the Company's deferred compensation plan, with a settlement date of January 30, 2017.
- F2Number of shares withheld for tax purposes.
- F3Each PRSU represents a contingent right to receive one share of Common Stock.
- F4The PRSUs set forth in this row resulted from the vesting of a PRSU award granted by the Company on January 3, 2013. On January 5, 2016, the maximum number of PRSUs that could have been earned, 80,477, were deemed earned and vested under the January 3, 2013 PRSU award.
- F5PRSUs do not have an expiration date.