0001209191-19-001808.txt : 20190104
0001209191-19-001808.hdr.sgml : 20190104
20190104140203
ACCESSION NUMBER: 0001209191-19-001808
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190102
FILED AS OF DATE: 20190104
DATE AS OF CHANGE: 20190104
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: 19509349
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
2019-01-02
0
0001142750
AMN HEALTHCARE SERVICES INC
AMN
0001158584
SALKA SUSAN R
8840 CYPRESS WATERS BLVD., SUITE 300
COPPELL
TX
75019
1
1
0
0
President and CEO
Common Stock
2019-01-02
4
A
0
42096
0.00
A
185885
D
Common Stock
2019-01-02
4
F
0
12928
56.66
D
172957
D
Performance Restricted Stock Units
2019-01-02
4
M
0
42096
0.00
D
Common Stock
42096
0
D
The acquisition of AMN Common Stock set forth in this row resulted from the deferred release of a Performance Restricted Stock Unit ("PRSU") award that vested on January 4, 2017. In 2014, the reporting person elected to defer receipt of these PRSUs pursuant to the Company's deferred compensation plan, with a settlement date of January 2, 2019.
Number of shares withheld for tax purposes.
The PRSUs set forth in this row were granted pursuant to the AMN Healthcare Equity Plan. Each PRSU represents a contingent right to receive one share of AMN Common Stock.
The PRSUs set forth in this row resulted from the vesting of a PRSU award granted by the Company on January 3, 2014. On January 4, 2017, the maximum number of PRSUs that could have been earned, 42,096, were deemed earned and vested under this January 3, 2014 PRSU award.
PRSUs do not have an expiration date.
/s/ Susan R. Salka
2019-01-04