0001104659-20-100906.txt : 20200831
0001104659-20-100906.hdr.sgml : 20200831
20200831181857
ACCESSION NUMBER: 0001104659-20-100906
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200827
FILED AS OF DATE: 20200831
DATE AS OF CHANGE: 20200831
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sim Kenneth T.
CENTRAL INDEX KEY: 0001725499
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 201152852
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVE.
STREET 2: 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
1
tm2029953d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-08-27
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0001725499
Sim Kenneth T.
1668 S. GARFIELD AVE., 2ND FL.
ALHAMBRA
CA
91801
1
1
0
0
Executive Chairman and Co-CEO
Common Stock
2020-08-27
4
P
0
5000
18.34
A
1770556
I
By Trust
Common Stock
16379
I
By immediate family member
Common Stock
17307214
I
By Allied Physicians of California, A Professional Medical Corporation
These securities are held by the Kenneth T. Sim Pension Plan Trust U.A. dated 12/18/2007. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
These securities are beneficially owned by Brandon Sim, the Issuer's interim Co-Chief Operating Officer, Chief Technology Officer and Vice President of Engineering, who is the Reporting Person's son and shares the Reporting Person's household. The Reporting Person disclaims any beneficial ownership of these securities.
These securities are beneficially owned by Allied Physicians of California, A Professional Medical Corporation, of which the Reporting Person is a director, officer and shareholder. Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
/s/ by Omar Dabuni as attorney-in-fact for Kenneth T. Sim
2020-08-31