SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BURR ROBERT L

(Last) (First) (Middle)
C/O AMNEAL PHARMACEUTICALS, INC.
400 CROSSING BOULEVARD, THIRD FLOOR

(Street)
BRIDGEWATER NJ 08807

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Amneal Pharmaceuticals, Inc. [ AMRX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/04/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 05/04/2018 A 60,475 A (1) 60,475 D
Class A Common Stock 05/04/2018 A 6,057 A (2) 6,057 I By the Robert L. Burr IRA Account
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $16.4 05/04/2018 A 10,575 (3) 05/16/2027 Class A Common Stock 10,575 (4) 10,575 D
Stock Option $30.33 05/04/2018 A 10,575 (3) 05/17/2026 Class A Common Stock 10,575 (4) 10,575 D
Stock Option $44.85 05/04/2018 A 7,300 (3) 05/12/2025 Class A Common Stock 7,300 (4) 7,300 D
Stock Option $25.24 05/04/2018 A 11,500 (3) 05/14/2024 Class A Common Stock 11,500 (4) 11,500 D
Stock Option $17.99 05/04/2018 A 12,000 (3) 05/15/2023 Class A Common Stock 12,000 (4) 12,000 D
Stock Option $20.9 05/04/2018 A 10,000 (3) 05/23/2022 Class A Common Stock 10,000 (4) 10,000 D
Stock Option $27.97 05/04/2018 A 10,000 (3) 05/11/2021 Class A Common Stock 10,000 (4) 10,000 D
Stock Option $20.3 05/04/2018 A 10,000 (3) 05/26/2020 Class A Common Stock 10,000 (4) 10,000 D
Stock Option $6.55 05/04/2018 A 30,000 (3) 05/20/2019 Class A Common Stock 30,000 (4) 30,000 D
Stock Option $15.01 05/07/2018 A 24,977 (5) 05/07/2028 Class A Common Stock 24,977 $0.00 24,977 D
Restricted Stock Units (6) 05/07/2018 A 6,107 (7) (7) Class A Common Stock 6,107 $0.00 6,107 D
Explanation of Responses:
1. Received in exchange for 60,475 shares of Impax Laboratories, Inc. ("Impax") common stock pursuant to the Business Combination Agreement, dated as of October 17, 2017, among Impax, Amneal Pharmaceuticals LLC, Atlas Holdings, Inc. and K2 Merger Sub Corporation (as amended, the "BCA").
2. Received in exchange for 6,057 shares of Impax common stock pursuant to the BCA.
3. The option is vested and currently exercisable.
4. Received pursuant to the BCA in exchange for an option to purchase an equal number of shares of Impax common stock.
5. The option vests in four equal annual installments beginning on May 07, 2019.
6. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.
7. The restricted stock units vest in four equal annual installments beginning on May 07, 2019 and have no expiration date.
Remarks:
/s/ Bryan M. Reasons, Attorney-in-Fact 05/08/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.