-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, L+Qo9EnoChAfykNwBsEWcPfQEVYV0QhsiywpHchWpLT+7HGAIjy168r+GfI2OCHL qlDhw9Oyqq7iVVlQnJUELA== 0001258220-04-000003.txt : 20040601 0001258220-04-000003.hdr.sgml : 20040601 20040601165003 ACCESSION NUMBER: 0001258220-04-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040501 FILED AS OF DATE: 20040601 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOHR SHAWN CENTRAL INDEX KEY: 0001258220 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20540 FILM NUMBER: 04841858 BUSINESS ADDRESS: STREET 1: 500 NEWPORT CENTER DR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 818.878.3136 MAIL ADDRESS: STREET 1: 26651 WEST AGOURA ROAD CITY: CALABASAS STATE: CA ZIP: 91302 3 1 edgardoc.xml PRIMARY DOCUMENT X0202 3 2004-05-01 0 0000890564 ON ASSIGNMENT INC ASGN 0001258220 MOHR SHAWN ON ASSIGNMENT, INC. 26651 WEST AGOURA ROAD CALABASAS CA 91302 0 1 0 0 Chief Sales Officer Non-Qualified Stock Option (right to buy) 6 2005-05-01 2014-04-14 Common Stock 110000 D Non-Qualified Stock Option (right to buy) 6.52 2005-01-13 2014-01-13 Common Stock 40000 D Options exercisable for 27,500 shares vest on 5/1/05 and options exercisable for the remaining 82,500 shares vest at a rate of one thirty-sixth per month for the 36 months following 5/1/05. Options exercisable for 20,000 shares vest on 1/13/05 and options exercisable for the remaining 20,000 shares vest one thirty-sixth per month for the following 36 months following 1/13/05. By: Power of Attorney, Ronald W Rudolph, CFO For: Shawn Michael Mohr 2004-05-27 EX-24 2 mohrpowerofattorney.txt EDGAR SUPPORTING DOCUMENT POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENT, that the undersigned hereby constitutes and appoints Ronald W. Rudolph and Joseph Peterson, M.D. as his/her true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of On Assignment, Inc. (the "Company"), any and all Forms 3, 4 and 5 required to be filed by the undersigned in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned, pursuant to this Power of Attorney, shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in his/her discretion. The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or his/her substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that no such attorney-in-fact, in serving in such capacity at the request of the undersigned, is hereby assuming, nor is the Company hereby assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorney-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of May, 2004 Shawn Mohr -----END PRIVACY-ENHANCED MESSAGE-----