0001104659-19-065771.txt : 20191120
0001104659-19-065771.hdr.sgml : 20191120
20191120141746
ACCESSION NUMBER: 0001104659-19-065771
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191011
FILED AS OF DATE: 20191120
DATE AS OF CHANGE: 20191120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BATES ERNEST A
CENTRAL INDEX KEY: 0000946042
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 191233802
MAIL ADDRESS:
STREET 1: FOUR EMBARCADERO CENTER 3620
CITY: SAN FRANCISO
STATE: CA
ZIP: 94111-4155
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Medical Holdings, Inc.
CENTRAL INDEX KEY: 0001083446
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
IRS NUMBER: 870042699
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1668 S. GARFIELD AVENUE
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
BUSINESS PHONE: (626) 282-0288
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVENUE
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
FORMER COMPANY:
FORMER CONFORMED NAME: SICLONE INDUSTRIES INC
DATE OF NAME CHANGE: 19990413
4
1
tm1923454d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-10-11
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0000946042
BATES ERNEST A
TWO EMBARCADERO CENTER 410
SAN FRANCISO
CA
94111
1
0
0
0
Stock Options
15.35
2019-10-11
4
A
0
11000
0
A
2020-01-11
2024-10-11
Common Stock
11000
18500
D
The Issuer granted these options to Reporting Person in consideration for his service as a director of the Issuer. Such stock options vest in 4 installments on January 11, 2020; April 11, 2020; July 11, 2020; and October 11, 2020.
/s/ by Omar Dabuni as attorney-in-fact for Ernest A. Bates, M.D.
2019-11-20