0001553350-15-001115.txt : 20151027
0001553350-15-001115.hdr.sgml : 20151027
20151027204631
ACCESSION NUMBER: 0001553350-15-001115
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151014
FILED AS OF DATE: 20151027
DATE AS OF CHANGE: 20151027
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: 0131
BUSINESS ADDRESS:
STREET 1: 450 NORTH BRAND BLVD.,
STREET 2: SUITE 600
CITY: GLENDALE
STATE: CA
ZIP: 91203
BUSINESS PHONE: 818-396-8050
MAIL ADDRESS:
STREET 1: 700 N. BRAND BLVD.,
STREET 2: SUITE 220
CITY: GLENDALE
STATE: CA
ZIP: 91203
FORMER COMPANY:
FORMER CONFORMED NAME: SICLONE INDUSTRIES INC
DATE OF NAME CHANGE: 19990413
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Network Medical Management, Inc.
CENTRAL INDEX KEY: 0001656434
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 151178908
BUSINESS ADDRESS:
STREET 1: 1668 S. GARFIELD AVE., 2ND FL.
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
BUSINESS PHONE: (626) 943-6238
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVE., 2ND FL.
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
3/A
1
nmm_3.xml
OWNERSHIP DOCUMENT
X0206
3/A
2015-10-14
2015-10-23
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0001656434
Network Medical Management, Inc.
1668 S. GARFIELD AVE.
2ND FL.
ALHAMBRA
CA
91801
0
0
1
0
Common Stock
2222222
D
Series A Preferred Stock
2015-10-14
Common Stock
1111111
D
The Common Stock beneficially owned by Reporting Person is comprised of (a) 1,111,111 shares of Common Stock that may be acquired upon conversion of Series A Preferred Stock that is currently convertible, and (b) 1,111,111 shares of Common Stock that may be acquired upon exercise of a currently exercisable Warrant.
The Series A Preferred Stock was incorrectly listed in Table I in the original Form 3 filed by the Reporting Person on October 23, 2015 and is hereby deleted from Table I. The Series A Preferred Stock is now listed in Table II of this amendment.
The Series A Preferred Stock is convertible into Common Stock, at the option of the Reporting Person, at any time after issuance at an initial conversion rate of one-for-one, subject to adjustment in the event of stock dividends, stock splits and certain other similar transactions. The Series A Preferred Stock is mandatorily convertible not sooner than the earlier to occur of (i) the later of (x) January 31, 2017 or (y) 60 days after the date on which the Issuer files its quarterly report on Form 10Q for the period ending September 30, 2016; or (ii) the date on which the Issuer received the written, irrevocable decision of the Reporting Person not to require a redemption of the Series A Preferred Stock, in the event that the Issuer engages in one or more transactions resulting in gross proceeds of not less than $5,000,000, not including the proceeds of the transaction with the Reporting Person.
/s/ Thomas Lam, M.D.
2015-10-27