0001104659-19-065777.txt : 20191120 0001104659-19-065777.hdr.sgml : 20191120 20191120142038 ACCESSION NUMBER: 0001104659-19-065777 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191011 FILED AS OF DATE: 20191120 DATE AS OF CHANGE: 20191120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fawcett Mark CENTRAL INDEX KEY: 0001664134 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 191233882 MAIL ADDRESS: STREET 1: 55 RIDGE ROAD CITY: CONCORD STATE: MA ZIP: 01742 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apollo Medical Holdings, Inc. CENTRAL INDEX KEY: 0001083446 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 870042699 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1668 S. GARFIELD AVENUE STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 BUSINESS PHONE: (626) 282-0288 MAIL ADDRESS: STREET 1: 1668 S. GARFIELD AVENUE STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 FORMER COMPANY: FORMER CONFORMED NAME: SICLONE INDUSTRIES INC DATE OF NAME CHANGE: 19990413 4 1 tm1923454d6_4.xml OWNERSHIP DOCUMENT X0306 4 2019-10-11 0 0001083446 Apollo Medical Holdings, Inc. AMEH 0001664134 Fawcett Mark 55 RIDGE ROAD CONCORD MA 01742 1 0 0 0 Stock Options 15.35 2019-10-11 4 A 0 11000 0 A 2020-01-11 2024-10-11 Common Stock 11000 53500 D The Issuer granted these options to Reporting Person in consideration for his service as a director of the Issuer. Such stock options vest in 4 installments on January 11, 2020; April 11, 2020; July 11, 2020; and October 11, 2020. /s/ by Omar Dabuni as attorney-in-fact for Mark Fawcett 2019-11-20