0001209191-19-059660.txt : 20191209 0001209191-19-059660.hdr.sgml : 20191209 20191209163829 ACCESSION NUMBER: 0001209191-19-059660 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191205 FILED AS OF DATE: 20191209 DATE AS OF CHANGE: 20191209 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: 191275650 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 2019-12-05 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 2019-11-14 5 G 0 E 8000 0.00 D 123555 D Common Stock 2019-12-05 4 M 0 9872 0.00 A 133427 D Common Stock 2019-12-05 4 F 0 3884 60.16 D 129543 D Restricted Stock Units 2019-12-05 4 M 0 9872 0.00 D Common Stock 9872 0 D The reporting person transferred 8,000 shares of AMN Common Stock as a gift to charity. Common Stock acquired on the vesting of Restricted Stock Units. Number of shares withheld for tax purposes. The Restricted Stock Units set forth 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 5, 2016 and vest on the third anniversary of the grant date. Restricted Stock Units do not have an expiration date. /s/ Susan R. Salka 2019-12-09