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