0001104659-20-023827.txt : 20200221
0001104659-20-023827.hdr.sgml : 20200221
20200221150540
ACCESSION NUMBER: 0001104659-20-023827
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200205
FILED AS OF DATE: 20200221
DATE AS OF CHANGE: 20200221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fawcett Mark
CENTRAL INDEX KEY: 0001664134
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 20639342
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/A
1
tm209648d4_4a.xml
OWNERSHIP DOCUMENT
X0306
4/A
2020-02-05
2019-12-26
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0001664134
Fawcett Mark
55 RIDGE ROAD
CONCORD
MA
01742
1
0
0
0
Stock Option (right to buy)
17.57
2020-02-05
4
J
0
2048
0
D
2024-11-25
Common Stock
2048
53500
D
This Amendment reports the rescission ab initio on February 5, 2020 of the entire grant on November 27, 2019 to the Reporting Person of stock options to purchase shares of common stock of Apollo Medical Holdings, Inc. (the "Company") under the Company's 2015 Equity Incentive Plan.
/s/ by Mark Fawcett
2020-02-20