SEC Form 4 · accession 0001437749-15-016845

ExamWorks Group, Inc. · EXAM

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Crystal B. Patmore

Officer — Executive Vice President

Period of report

Sep 1, 2015

Accepted (ET)

Sep 3, 2015 · 5:17 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
Common Stock	Sep 1, 2015	M	44,231	$2.81	A	71,631	D
Common Stock^F1	Sep 1, 2015	S	44,231	$35.00	D	27,400	D
Common Stock	Sep 2, 2015	M	12,853	$4.86	A	40,253	D
Common Stock^F2	Sep 2, 2015	S	12,853	$34.72	D	27,400	D
Common Stock	Sep 2, 2015	M	22,200	$9.47	A	49,600	D
Common Stock^F2	Sep 2, 2015	S	22,200	$34.72	D	27,400	D
Common Stock	Sep 2, 2015	M	5,800	$2.81	A	33,200	D
Common Stock^F2	Sep 2, 2015	S	5,800	$34.72	D	27,400	D

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F3	$2.81	Sep 1, 2015	M	44,231	D	—	Apr 3, 2019	Common Stock	44,231	5,800	D
Employee Stock Option (right to buy)^F4	$4.86	Sep 2, 2015	M	12,853	D	—	Feb 15, 2020	Common Stock	12,853	0	D
Employee Stock Option (right to buy)^F5	$9.47	Sep 2, 2015	M	22,200	D	—	Jan 4, 2022	Common Stock	22,200	22,200	D
Employee Stock Option (right to buy)^F3	$2.81	Sep 2, 2015	M	5,800	D	—	Apr 3, 2019	Common Stock	5,800	0	D

Explanation of responses

F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.00 to $35.05, inclusive. The Reporting Person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.50 to $35.19, inclusive. The Reporting Person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
F3On April 3, 2009, the reporting person was granted an option to purchase 89,969 shares of common stock. The option vested in three equal annual installments beginning on April 3, 2010.
F4On February 15, 2010, the reporting person was granted an option to purchase 12,853 shares of common stock. The option vested in three equal annual installments beginning on February 15, 2011.
F5On January 4, 2012, the reporting person was granted an option to purchase 44,400 shares of common stock. The option vested in three equal annual installments beginning on January 4, 2013.