SEC Form 4 · accession 0001209191-17-066670
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 19, 2017
Accepted (ET)
Dec 20, 2017 · 5:01 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 | Feb 23, 2017 | G | 10,124 | $0.00 | D | 253,850 | D | |
| Common Stock | Nov 9, 2017 | G | 10,000 | $0.00 | D | 243,850 | 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 19, 2017 | A | 20,429 | A | — | — | Common Stock | 20,429 | 20,429 | D |
Explanation of responses
- F1The reporting person transferred 10,124 shares of AMN Common Stock as a gift to charity.
- F2The reporting person transferred 10,000 shares of AMN Common Stock as a gift to charity.
- F3The Restricted Stock Units were granted pursuant to the AMN Healthcare 2017 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 19, 2017 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 2018 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 2019 fiscal year.
- F5Restricted Stock Units do not have an expiration date.