0001493152-21-012430.txt : 20210521
0001493152-21-012430.hdr.sgml : 20210521
20210521091637
ACCESSION NUMBER: 0001493152-21-012430
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210521
FILED AS OF DATE: 20210521
DATE AS OF CHANGE: 20210521
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: 21946772
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
2021-05-21
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
Common Stock
2021-05-21
4
M
0
37500
A
333900
D
Time-Based Restricted Stock Units
2021-05-21
4
M
0
37500
0
D
Common Stock
37500
75000
D
Represents time-based restricted stock units ("RSUs") awarded by the Issuer on May 21, 2019, and vest over a period of four years in four equal annual installments, with 37,500 shares vesting on each of May 21, 2020, May 21, 2021, May 21, 2022 and May 21, 2023, and with full acceleration of vesting upon a change of control of the Issuer, 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.
/s/ Jeffrey S. Ervin
2021-05-21