0001104659-19-075849.txt : 20191226 0001104659-19-075849.hdr.sgml : 20191226 20191226060743 ACCESSION NUMBER: 0001104659-19-075849 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191125 FILED AS OF DATE: 20191226 DATE AS OF CHANGE: 20191226 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: 191308114 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 tm1927354d4_4.xml OWNERSHIP DOCUMENT X0306 4 2019-11-25 0 0001083446 Apollo Medical Holdings, Inc. AMEH 0001664134 Fawcett Mark 55 RIDGE ROAD CONCORD MA 01742 1 0 0 0 Stock Options 17.57 2019-11-25 4 A 0 2048 0 A 2020-02-25 2024-11-25 Common Stock 2048 55548 D The Issuer granted the above options to Reporting Person in consideration for the Reporting Person's services to the Issuer. Such stock options vest in four (4) equal installments on February 25, 2020; May 25, 2020; August 25, 2020; and November 25, 2020. /s/ by Omar Dabuni as attorney-in-fact for Mark Fawcett 2019-12-23