0001250853-22-000120.txt : 20221209
0001250853-22-000120.hdr.sgml : 20221209
20221209184349
ACCESSION NUMBER: 0001250853-22-000120
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221207
FILED AS OF DATE: 20221209
DATE AS OF CHANGE: 20221209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Young Albert WaiChow
CENTRAL INDEX KEY: 0001725420
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 221455862
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVE.
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lam Thomas S.
CENTRAL INDEX KEY: 0001664499
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 221455864
MAIL ADDRESS:
STREET 1: 1668 GARFIELD AVE., 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSION MEDICAL Corp
CENTRAL INDEX KEY: 0001725602
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 221455865
BUSINESS ADDRESS:
STREET 1: 1668 S. GARFIELD AVE.
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
BUSINESS PHONE: 6262820288
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVE.
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
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: 221455863
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
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2022-12-07
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0001725602
ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSION MEDICAL Corp
1668 S. GARFIELD AVE.
2ND FLOOR
ALHAMBRA
CA
91801
0
0
1
0
0001664499
Lam Thomas S.
1668 GARFIELD AVE., 2ND FLOOR
ALHAMBRA
CA
91801
1
1
0
0
President and Co-CEO
0001725499
Sim Kenneth T.
1668 S. GARFIELD AVE.
2ND FLOOR
ALHAMBRA
CA
91801
1
1
0
0
Executive Chairman
0001725420
Young Albert WaiChow
1668 S. GARFIELD AVE.
2ND FLOOR
ALHAMBRA
CA
91801
0
1
0
0
Chief Administrative Officer
Common Stock
2022-12-07
4
M
0
55337
10
A
10246997
D
Common Stock
2022-12-07
4
M
0
52262
11
A
10299259
D
Warrants to purchase Common Stock
10
2022-12-07
4
M
0
55337.13
D
2017-12-08
2022-12-08
Common Stock
55337.13
0
D
Warrants to purchase Common Stock
11
2022-12-07
4
M
0
52262.84
D
2017-12-08
2022-12-08
Common Stock
52262.84
0
D
These shares are owned directly by the Reporting Person, and indirectly by Kenneth Sim, Thomas Lam, and Albert Young, each of whom is a director, officer and shareholder of the Reporting Person.
On December 8, 2017, a reverse merger transaction between the Issuer and Network Medical Management, Inc. ("NMM") was consummated such that NMM became a wholly-owned subsidiary of the Issuer (the "Merger). Immediately prior to the closing of the Merger, the Reporting Person was a shareholder of NMM. Pursuant to the Merger, the shares of NMM common stock previously held by Reporting Person were converted into certain securities of the Issuer and other consideration, including (i) a warrant to purchase 55,337.13 shares of common stock of the Issuer at an exercise price of $10.00 per share and (ii) a warrant to purchase 52,262.84 shares of common stock of the Issuer at an exercise price of $11.00 per share.
/s/ Thomas S. Lam, Chief Executive Officer
2022-12-09
/s/ Thomas S. Lam
2022-12-09
/s/ Kenneth T. Sim
2022-12-09
/s/ Albert WaiChow Young
2022-12-09