0001553350-19-000944.txt : 20190913
0001553350-19-000944.hdr.sgml : 20190913
20190913143442
ACCESSION NUMBER: 0001553350-19-000944
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190911
FILED AS OF DATE: 20190913
DATE AS OF CHANGE: 20190913
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: 191092346
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
sim4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-09-11
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
Common Stock
2019-09-11
4
A
0
15015015
300000000
A
16790575
I
By Allied Physicians of California, A Professional Medical Corporation
On September 11, 2019, Apollo Holdings, Medical Inc. ("AMEH"), AP-AMH Medical Corporation ("AP-AMH"), Allied Physicians of California, a Professional Medical Corporation ("APC") and Network Medical Management, Inc. concurrently closed a series of inter-connected transactions, as more fully described in the Form 8-K filed by AMEH with the Securities and Exchange Commission on September 12, 2019. The closing included AMEH issuing to APC a total of 15,015,015 shares of its authorized and unissued common stock for aggregate purchase consideration of $300,000,000, the per share price of $19.98 having been determined at the time of execution of the Stock Purchase Agreement on May 10, 2019. The transaction was exempt from the registration requirements of the Securities Act of 1933, as amended, pursuant to Section 4(a)(2) thereof and Rule 506(b) of Regulation D promulgated thereunder, applicable to transactions by an issuer not involving any public offering.
These shares are owned directly by APC of which Reporting Person is a director, officer and shareholder. Reporting Person disclaims beneficial ownership of these shares 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 shares for purposes of Section 16 or for any other purpose.
/s/ by Omar Dabuni as attorney-in-fact for Kenneth Sim, M.D.
2019-09-13