SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

PERLMAN RICHARD E

(Last)

(First)

(Middle)

3280 PEACHTREE ROAD, N.E., SUITE 2625

(Street)

ATLANTA

30305

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/27/2010

3. Issuer Name and Ticker or Trading Symbol
ExamWorks Group, Inc. [ EXAM ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
	Exec. Chairman of the Board

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	369,753	D
Common Stock	6,728,018	I⁽¹⁾	by ExamWorks Holdings, LLLP

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (right to buy)	⁽²⁾	03/26/2020	Common Stock	514,110	$6.63	D

Explanation of Responses:

1. The reporting person is a limited partner of ExamWorks Holdings, LLLP and the president of Compass Partners, L.L.C., the sole general partners of ExamWorks Holdings LLLP. ExamWorks Holdings, LLLP is the direct holder of the common stock and currently owns 6,728,018 shares of common stock. If ExamWorks Holdings, LLLP distributed such shares of common stock to its limited partners, the reporting person would own (i) 1,095,793 shares of common stock directly, (ii) 124,824 shares of common stock through a Roth IRA and (iii) 12,852 shares of common stock indirectly through Compass Partners, L.L.C. The reporting person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein.

2. 257,055 of the options will vest and become exercisable upon the consummation of the Registrant's initial public offering. 257,055 of the options will vest and become exercisable on the date that is twelve months following the consummation of the Registrant's initial public offering.

Remarks:

	/s/ J. Miguel Fernandez de Castro, as Attorney-In-Fact	10/27/2010
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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