0001437749-15-016845.txt : 20150903 0001437749-15-016845.hdr.sgml : 20150903 20150903171729 ACCESSION NUMBER: 0001437749-15-016845 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: Patmore Crystal B. CENTRAL INDEX KEY: 0001501282 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34930 FILM NUMBER: 151092744 MAIL ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: GA ZIP: 30305 4 1 rdgdoc.xml FORM 4 X0306 4 2015-09-01 0001498021 ExamWorks Group, Inc. EXAM 0001501282 Patmore Crystal B. 3280 PEACHTREE ROAD, N.E. SUITE 2625 ATLANTA GA 30305 1 Executive Vice President Common Stock 2015-09-01 4 M 0 44231 2.81 A 71631 D Common Stock 2015-09-01 4 S 0 44231 35 D 27400 D Common Stock 2015-09-02 4 M 0 12853 4.86 A 40253 D Common Stock 2015-09-02 4 S 0 12853 34.72 D 27400 D Common Stock 2015-09-02 4 M 0 22200 9.47 A 49600 D Common Stock 2015-09-02 4 S 0 22200 34.72 D 27400 D Common Stock 2015-09-02 4 M 0 5800 2.81 A 33200 D Common Stock 2015-09-02 4 S 0 5800 34.72 D 27400 D Employee Stock Option (right to buy) 2.81 2015-09-01 4 M 0 44231 0 D 2019-04-03 Common Stock 44231 5800 D Employee Stock Option (right to buy) 4.86 2015-09-02 4 M 0 12853 0 D 2020-02-15 Common Stock 12853 0 D Employee Stock Option (right to buy) 9.47 2015-09-02 4 M 0 22200 0 D 2022-01-04 Common Stock 22200 22200 D Employee Stock Option (right to buy) 2.81 2015-09-02 4 M 0 5800 0 D 2019-04-03 Common Stock 5800 0 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 $35.05, 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.50 to $35.19, 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 April 3, 2009, the reporting person was granted an option to purchase 89,969 shares of common stock. The option vested in three equal annual installments beginning on April 3, 2010. On February 15, 2010, the reporting person was granted an option to purchase 12,853 shares of common stock. The option vested in three equal annual installments beginning on February 15, 2011. On January 4, 2012, the reporting person was granted an option to purchase 44,400 shares of common stock. The option vested in three equal annual installments beginning on January 4, 2013. /s/ Clare Arguedas, Attorney-In-Fact 2015-09-03