SEC Form 4/A · accession 0001104659-16-111003
Adeptus Health Inc. · ADPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
James Muzzarelli
Officer — Executive Medical Director
Period of report
Feb 25, 2016
Accepted (ET)
Apr 12, 2016 · 3:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001602367
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Shares of Class A common stock, par value $0.01 per shareF1 | Feb 25, 2016 | A | 7,321 | $0.00 | A | 13,030 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The Form 4, as originally filed, reported the Reporting Person's beneficial ownership following this transaction by including time-based restricted stock and a grant of performance-based restricted stock based on performance vesting equal to 100% of target. The Form 4, as amended by this Form 4/A, includes both the time based restricted stock and the total maximum potential amount of performance based restricted stock which includes additional shares if performance exceeds 100% of pre-established targets. This Form 4/A represents a grant of restricted stock subject to the following vesting schedule (i) 2,441 shares will vest over a three year period with 33.3% vesting on February 25, 2017 and the remainder vesting in equal quarterly installments for the two years thereafter and (ii) up to 4,880 shares will vest on February 25, 2019, provided that the Issuer has met certain pre-established earnings and revenue targets. No other changes have been made to the original Form 4.