0001209191-17-065287.txt : 20171212 0001209191-17-065287.hdr.sgml : 20171212 20171212191916 ACCESSION NUMBER: 0001209191-17-065287 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171209 FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 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: 171252815 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 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-09 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001158584 SALKA SUSAN R 8840 CYPRESS WATERS BLVD. COPPELL TX 75019 1 1 0 0 President and CEO Common Stock 2017-12-09 4 M 0 12770 0.00 A 269331 D Common Stock 2017-12-09 4 F 0 5357 50.15 D 263974 D Restricted Stock Units 2017-12-09 4 M 0 12770 0.00 D Common Stock 12770 0 D Common Stock acquired on the vesting of Restricted Stock Units ("RSUs"). Number of shares withheld for tax purposes. The RSUs identified in this row were granted pursuant to the AMN Healthcare Equity Plan. Each RSU represents a contingent right to receive one share of Common Stock. The RSUs identified in this row were granted on December 9, 2014 and vest on the third anniversary of the grant date, provided, however, the RSUs shall vest on an accelerated basis thirteen months after the grant date, in the incremental amount of 33%, should the Company achieve or exceed a certain specified earnings before interest, taxes, depreciation and amortization (EBITDA) target for the 2015 fiscal year, and on the second anniversary of the grant date, in the amount of 34%, should the Company achieve or exceed the specified EBITDA target for the 2016 fiscal year. RSUs do not have an expiration date. /s/ Susan R. Salka 2017-12-12