0001209191-19-023980.txt : 20190408 0001209191-19-023980.hdr.sgml : 20190408 20190408165451 ACCESSION NUMBER: 0001209191-19-023980 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190404 FILED AS OF DATE: 20190408 DATE AS OF CHANGE: 20190408 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weaver Paul E CENTRAL INDEX KEY: 0001363498 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16753 FILM NUMBER: 19737830 MAIL ADDRESS: STREET 1: C/O GATEWAY, INC. STREET 2: 7565 IRVINE CENTER DRIVE CITY: IRVINE STATE: CA ZIP: 92618 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 2019-04-04 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001363498 Weaver Paul E 132 LONE TREE FARM ROAD NEW CANAAN CT 06840 1 0 0 0 Common Stock 2019-04-04 4 M 0 8224 6.00 A 46246 D Common Stock 2019-04-04 4 D 0 1011 48.83 D 45235 D Stock Appreciation Rights 6.00 2019-04-04 4 M 0 8224 0.00 D 2019-04-09 Common Stock 8224 0 D A Stock-Settled Appreciation Right ("SSAR") entitles the Grantee to the right to receive shares of AMN's Common Stock ("Stock") having a value equal to the excess of the Fair Market Value of the closing price of the Stock on the trading day prior to the date of exercise over the Exercise Price multiplied by the number of SSARs exercised. The number set forth in this row represents the difference between the number of SSARs exercised (8,224) and the number of shares of Stock issued as a result of the exercise (7,213). The SSARs set forth in this row were granted on April 9, 2009 pursuant to the AMN Healthcare Equity Plan and vested on the one year anniversary of the grant date. /s/ Denise L. Jackson, as Attorney-In-Fact on behalf of Paul E. Weaver 2019-04-08