0001209191-16-155025.txt : 20161213 0001209191-16-155025.hdr.sgml : 20161213 20161213190540 ACCESSION NUMBER: 0001209191-16-155025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161209 FILED AS OF DATE: 20161213 DATE AS OF CHANGE: 20161213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMN HEALTHCARE SERVICES INC CENTRAL INDEX KEY: 0001142750 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 061500476 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: 8668718519 MAIL ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SALKA SUSAN R CENTRAL INDEX KEY: 0001158584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16753 FILM NUMBER: 162050060 MAIL ADDRESS: STREET 1: 14778 EL RODEO CT. CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 FORMER NAME: FORMER CONFORMED NAME: NOWAKOWSKI SUSAN DATE OF NAME CHANGE: 20010904 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-09 0 0001142750 AMN HEALTHCARE SERVICES INC AHS 0001158584 SALKA SUSAN R 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 1 1 0 0 President and CEO Common Stock 2016-12-09 4 M 0 11837 0.00 A 300525 D Common Stock 2016-12-09 4 F 0 6176 36.35 D 294349 D Common Stock 2016-12-12 5 G 0 E 10000 0.00 D 284349 D Restricted Stock Units 2016-12-09 4 M 0 11837 0.00 D Common Stock 11837 0 D Common Stock acquired on the vesting of Restricted Stock Units. Number of shares withheld for tax purposes. The reporting person transferred 10,000 shares of AMN Common Stock as a gift to charity. The Restricted Stock Units identified in this row were granted pursuant to the AMN Healthcare Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of AMN Common Stock. The Restricted Stock Units were granted on December 9, 2013 and vest on the third anniversary of the grant date. Each Restricted Stock Unit represents a contingent right to receive one share of AMN Common Stock. Restricted Stock Units do not have an expiration date. /s/ Susan R. Salka 2016-12-13