0001388823-12-000003.txt : 20120215 0001388823-12-000003.hdr.sgml : 20120215 20120215180023 ACCESSION NUMBER: 0001388823-12-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120215 DATE AS OF CHANGE: 20120215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brouse Mark CENTRAL INDEX KEY: 0001388823 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20540 FILM NUMBER: 12617077 MAIL ADDRESS: STREET 1: 275 EAST 200 SOUTH CITY: SALT LAKE CITY STATE: UT ZIP: 84111 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 5 1 edgardoc.xml PRIMARY DOCUMENT X0304 5 2011-12-31 0 0 0 0000890564 ON ASSIGNMENT INC ASGN 0001388823 Brouse Mark ON ASSIGNMENT, INC. 26745 MALIBU HILLS ROAD CALABASAS CA 91301 0 1 0 0 Special Advisor to CEO of OAI Common Stock 2011-08-01 5 A 0 13713 0 D 140600 D Common Stock 2011-08-01 5 A 0 8787 0 A 149387 D Common Stock 2011-05-27 5 G 0 600 0 D 7900 I by Trust Common Stock 2011-05-27 5 G 0 4912 0 D 2988 I by Trust The cancellation of grant # 005373 for 13,713 shares due to a change in employment. This grant # 005816 for 8,787 shares was issued in place of cancelled grant # 005373 for 13,713 shares. The vesting schedule remains the same. The transaction dates for both were 8/1/11. Shares Gifted to Charity By: Power of Attorney, James L. Brill, CFO For: Mark Brouse 2012-02-15