0001104659-21-078416.txt : 20210608
0001104659-21-078416.hdr.sgml : 20210608
20210608210136
ACCESSION NUMBER: 0001104659-21-078416
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210607
FILED AS OF DATE: 20210608
DATE AS OF CHANGE: 20210608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZASLOFF MICHAEL A
CENTRAL INDEX KEY: 0001033511
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36509
FILM NUMBER: 211003774
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amphastar Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001297184
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 330702205
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11570 SIXTH STREET
CITY: RANCHO CUCAMONGA
STATE: CA
ZIP: 91730
BUSINESS PHONE: 909-980-9484
MAIL ADDRESS:
STREET 1: 11570 SIXTH STREET
CITY: RANCHO CUCAMONGA
STATE: CA
ZIP: 91730
4
1
tm2119150-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-06-07
0
0001297184
Amphastar Pharmaceuticals, Inc.
AMPH
0001033511
ZASLOFF MICHAEL A
C/O AMPHASTAR PHARMACEUTICALS, INC.
11570 6TH STREET
RANCHO CUCAMONGA
CA
91730
1
0
0
0
Common Stock
2021-06-07
4
A
0
6019
0.00
A
47206
D
Stock Option (right to buy)
19.52
2021-06-07
4
A
0
17182
0
A
2029-06-07
Common Stock
17182
17182
D
The reported shares are represented by restricted stock units, or RSUs, all of which vest on June 7, 2022.
All of the shares subject to the option vest on June 7, 2022.
/s/ Eva Wen, by power of attorney
2021-06-08