0001493152-19-009737.txt : 20190626
0001493152-19-009737.hdr.sgml : 20190626
20190626161411
ACCESSION NUMBER: 0001493152-19-009737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190521
FILED AS OF DATE: 20190626
DATE AS OF CHANGE: 20190626
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ervin Jeffrey S
CENTRAL INDEX KEY: 0001762163
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38797
FILM NUMBER: 19921756
MAIL ADDRESS:
STREET 1: C/O IMAC HOLDINGS, INC.
STREET 2: 1605 WESTGATE CIRCLE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMAC Holdings, Inc.
CENTRAL INDEX KEY: 0001729944
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
IRS NUMBER: 473579961
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1605 WESTGATE CIRCLE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 844-266-4622
MAIL ADDRESS:
STREET 1: 1605 WESTGATE CIRCLE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
FORMER COMPANY:
FORMER CONFORMED NAME: IMAC HOLDINGS LLC
DATE OF NAME CHANGE: 20180131
4
1
ownership.xml
X0306
4
2019-05-21
0
0001729944
IMAC Holdings, Inc.
IMAC
0001762163
Ervin Jeffrey S
C/O IMAC HOLDINGS, INC.
1605 WESTGATE CIRCLE
BRENTWOOD
TN
37027
1
1
0
0
Chief Executive Officer
Time-Based Restricted Stock Units
2019-05-21
4
A
0
150000
0
A
2025-05-21
Common Stock
150000
150000
D
Non-Qualified Stock Options
4.04
2019-05-21
4
A
0
150000
0
A
2029-05-21
Common Stock
150000
150000
D
The securities are time-based restricted stock units awarded by the Issuer, and vest over a period of four years with the initial 25% installment commencing one year after the grant date of said securities, and the remaining 75% vesting in 36 equal monthly installments thereafter, with full acceleration of vesting upon a change of control of the Issuer, and in accordance with the terms of the Issuer's 2019 Incentive Compensation Plan and the form of restricted stock unit agreement with respect to such award.
The securities are non-qualified stock options awarded by the Issuer, and vest over a period of four years with the initial 25% installments commencing one year after the grant date of said securities, and the remaining 75% vesting in 36 equal monthly installments thereafter, with full acceleration of vesting upon a change of control of the Issuer, and in accordance with the terms of the Issuer's 2019 Incentive Compensation Plan and the form of non-qualified stock option agreement with respect to such award.
/s/ Jeffrey S. Ervin
2019-06-26