0001206876-12-000003.txt : 20120521 0001206876-12-000003.hdr.sgml : 20120521 20120521192911 ACCESSION NUMBER: 0001206876-12-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120515 FILED AS OF DATE: 20120521 DATE AS OF CHANGE: 20120521 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ON ASSIGNMENT INC CENTRAL INDEX KEY: 0000890564 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 954023433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26651 WEST AGOURA ROAD CITY: CALABASAS STATE: CA ZIP: 91302 BUSINESS PHONE: 8188787900 MAIL ADDRESS: STREET 1: 26651 WEST AGOURA ROAD CITY: CALABASAS STATE: CA ZIP: 91302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLAZER RANDOLPH C CENTRAL INDEX KEY: 0001206876 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20540 FILM NUMBER: 12860243 MAIL ADDRESS: STREET 1: 26745 MALIBU HILLS ROAD CITY: CALABASAS STATE: CA ZIP: 91301 3 1 edgardoc.xml PRIMARY DOCUMENT X0205 3 2012-05-15 0 0000890564 ON ASSIGNMENT INC ASGN 0001206876 BLAZER RANDOLPH C 211 N. UNION STREET, SUITE 220 ALEXANDRIA VA 22314 0 1 0 1 President of Apex Systems, Inc President of Apex Systems, Inc Common Stock 260915 D Par Value $.01 per share Of the aggregate number of shares reported, 20.134 shares are held in escrow in connection with the transactions contemplated by the Agreement of Merger, dated as of March 20, 2012, by and among On Assignment, Inc., a Delaware corporation, OA Acquisition Corp., a Virginia corporation and a wholly-owned subsidiary of On Assignment, Inc., Apex Systems, Inc., a Virginia corporation, and Jeffrey E. Veatch as representative of the shareholders of Apex Systems, Inc. By: Power of Attorney, James L. Brill, CFO For: Randolph C. Blazer 2012-05-21