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