0001437749-15-012326.txt : 20150615
0001437749-15-012326.hdr.sgml : 20150615
20150615172046
ACCESSION NUMBER: 0001437749-15-012326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150611
FILED AS OF DATE: 20150615
DATE AS OF CHANGE: 20150615
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ExamWorks Group, Inc.
CENTRAL INDEX KEY: 0001498021
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 272909425
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 404-952-2400
MAIL ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHUTZER WILLIAM A
CENTRAL INDEX KEY: 0001016750
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34930
FILM NUMBER: 15931921
MAIL ADDRESS:
STREET 1: C/O TIFFANY & CO LEGAL DEPT
STREET 2: 727 FIFTH AVE
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-06-11
0001498021
ExamWorks Group, Inc.
EXAM
0001016750
SHUTZER WILLIAM A
3280 PEACHTREE ROAD, N.E.
SUITE 2625
ATLANTA
GA
30305
1
Common Stock
2015-06-11
4
S
0
2600
40
D
337740
D
Common Stock
2015-06-12
4
S
0
3500
40.10
D
334240
D
Common Stock
2015-06-15
4
S
0
10364
40.26
D
323876
D
Common Stock
12453
I
Shutzer Family Limited Partnership
Common Stock
82185
I
Article IV Trust F/B/O Katherine Brennan
Common Stock
75957
I
Article IV Trust F/B/O James Lampert Shutzer
Common Stock
82185
I
Article IV Trust F/B/O Christopher David Shutzer
Common Stock
75958
I
Article IV Trust F/B/O Megan Anne Shutzer
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.05 to $40.22, 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.05 to $40.42, 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.
The reporting person's wife is the general partner of the Shutzer Family Limited Partnership.
The reporting person's wife is the trustee of Article IV Trust F/B/O Katherine Brennan.
The reporting person's wife is the trustee of Article IV Trust F/B/O James Lampert Shutzer.
The reporting person's wife is the trustee of Article IV Trust F/B/O Christopher David Shutzer.
The reporting person's wife is the trustee of Article IV Trust F/B/O Megan Anne Shutzer.
/s/ Clare Arguedas, Attorney-In-Fact
2015-06-15