0001437749-15-016844.txt : 20150903
0001437749-15-016844.hdr.sgml : 20150903
20150903171511
ACCESSION NUMBER: 0001437749-15-016844
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150901
FILED AS OF DATE: 20150903
DATE AS OF CHANGE: 20150903
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ExamWorks Group, Inc.
CENTRAL INDEX KEY: 0001498021
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 272909425
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 404-952-2400
MAIL ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CAMPBELL WESLEY
CENTRAL INDEX KEY: 0001192058
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34930
FILM NUMBER: 151092721
MAIL ADDRESS:
STREET 1: C/O EXAMWORKS, INC
STREET 2: 3280 PEACHTREE ROAD, SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-09-01
0001498021
ExamWorks Group, Inc.
EXAM
0001192058
CAMPBELL WESLEY
1820 RINGLING BLVD
SARASOTA
FL
34236
1
President
Common Stock
2015-09-01
4
M
0
46010
9.47
A
89847
D
Common Stock
2015-09-01
4
S
0
46010
35.02
D
43837
D
Common Stock
2015-09-01
4
M
0
25000
11.67
A
68837
D
Common Stock
2015-09-01
4
S
0
25000
35.02
D
43837
D
Employee Stock Option (right to buy)
9.47
2015-09-01
4
M
0
46010
0
D
2022-01-04
Common Stock
46010
0
D
Employee Stock Option (right to buy)
11.67
2015-09-01
4
M
0
25000
0
D
2020-10-06
Common Stock
25000
77822
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.00 to $35.08, inclusive. The Reporting Person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
On January 4, 2012, the reporting person was granted an option to purchase 71,100 shares of common stock. The option vested in three equal annual installments beginning on January 4, 2013.
On October 6, 2010, the reporting person was granted an option to purchase 102,822 shares of common stock. The option vested in three equal annual installments beginning on October 1, 2011.
/s/ Clare Argeudas, Attorney-In-Fact
2015-09-03