SEC Form 4 · accession 0001437749-15-014467
ExamWorks Group, Inc. · EXAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William A Shutzer
Director
Period of report
Jul 30, 2015
Accepted (ET)
Jul 31, 2015 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001498021
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 30, 2015 | A | 3,112 | $0.00 | A | 326,988 | D | |
| Common StockF1 | holding | — | — | — | 12,453 | I | Shutzer Family Limited Partnership | |
| Common StockF2 | holding | — | — | — | 82,185 | I | Article IV Trust F/B/O Katherine Brennan | |
| Common StockF3 | holding | — | — | — | 75,957 | I | Article IV Trust F/B/O James Lampert Shutzer | |
| Common StockF4 | holding | — | — | — | 82,185 | I | Article IV Trust F/B/O Christopher David Shutzer | |
| Common StockF5 | holding | — | — | — | 75,958 | I | Article IV Trust F/B/O Megan Anne Shutzer. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person's wife is the general partner of the Shutzer Family Limited Partnership.
- F2The reporting person's wife is the trustee of Article IV Trust F/B/O Katherine Brennan.
- F3The reporting person's wife is the trustee of Article IV Trust F/B/O James Lampert Shutzer.
- F4The reporting person's wife is the trustee of Article IV Trust F/B/O Christopher David Shutzer.
- F5The reporting person's wife is the trustee of Article IV Trust F/B/O Megan Anne Shutzer.