0001104659-19-076928.txt : 20191230 0001104659-19-076928.hdr.sgml : 20191230 20191230212618 ACCESSION NUMBER: 0001104659-19-076928 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191227 FILED AS OF DATE: 20191230 DATE AS OF CHANGE: 20191230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lam Thomas S. CENTRAL INDEX KEY: 0001664499 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 191317830 MAIL ADDRESS: STREET 1: 1668 GARFIELD AVE., 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 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/A 1 tm1928380d1_4a.xml OWNERSHIP DOCUMENT X0306 4/A 2019-12-27 2019-10-02 0 0001083446 Apollo Medical Holdings, Inc. AMEH 0001664499 Lam Thomas S. 1668 GARFIELD AVE., 2ND FLOOR ALHAMBRA CA 91801 1 1 0 0 President and Co-CEO Common Stock 2019-12-27 4 J 0 58883 0 D 0 D Stock Option (right to buy) 17.62 2019-12-27 4 J 0 39189 0 D 2024-09-30 Common Stock 39189 0 D This Amendment reports the rescission on December 27, 2019 ab initio of the entire grant on September 30, 2019 of restricted shares of common stock of Apollo Medical Holdings, Inc. (the "Company") under the Company's 2015 Equity Incentive Plan. This Amendment reports the rescission on December 27, 2019 ab initio of the entire grant on September 30, 2019 of stock options to purchase shares of the Company's common stock under the Company's 2015 Equity Incentive Plan. /s/ by Omar Dabuni as attorney-in-fact for Thomas Lam, M.D. 2019-12-30