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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | (1) | (2) | (3) | Common Stock | 5,555 | 5,555 | D | ||||||||
Restricted Stock Units | (1) | (4) | (3) | Common Stock | 4,048 | 4,048 | D | ||||||||
Stock Appreciation Rights | $ 18.03 | (5) | 04/12/2016 | Common Stock | 4,455 | 4,455 | D | ||||||||
Stock Appreciation Rights | $ 24.95 | (6) | 04/18/2017 | Common Stock | 3,482 | 3,482 | D | ||||||||
Stock Options (Right to buy) | $ 15.47 | 09/28/2006 | 09/28/2015 | Common Stock | 10,000 | 10,000 | D | ||||||||
Restricted Stock Units | (1) | (7) | (3) | Common Stock | 6,009 | 6,009 | D | ||||||||
Stock Appreciation Rights | $ 16.18 | (8) | 04/08/2018 | Common Stock | 5,168 | 5,168 | D | ||||||||
Restricted Stock Units | (1) | (9) | (3) | Common Stock | 9,563 | 9,563 | D | ||||||||
Stock Appreciation Rights | $ 6 | (10) | 04/09/2019 | Common Stock | 8,224 | 8,224 | D | ||||||||
Restricted Stock Units | (1) | (11) | (3) | Common Stock | 9,563 | 9,563 | D | ||||||||
Stock Appreciation Rights | $ 8.83 | (12) | 04/13/2020 | Common Stock | 8,224 | 8,224 | D | ||||||||
Restricted Stock Units | (1) | 04/18/2012 | A | 22,575 | (13) | (3) | Common Stock | 22,575 | $ 0 | 22,575 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HARRIS R JEFFREY 18235 W. BURLEIGH RD. BROOKFIELD, WI 53045 |
X |
/s/ Denise L. Jackson, as attorney-in-fact on behalf of R. Jeffrey Harris | 04/19/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Restricted Stock Units were granted pursuant to the AMN Healthcare Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock. |
(2) | The Restricted Stock Units were granted on April 12, 2006 and vest in the incremental amount of 33% on the earlier of (i) April 12, 2007 or (ii) the date of the Company's 2007 Annual Meeting of Stockholders; 34% on the earlier of (i) April 12, 2008 or (ii) the date of the Company's 2008 Annual Meeting of Stockholders; and 33% on the earlier of (i) April 12, 2009 or (ii) the date of the Company's 2009 Annual Meeting of Stockholders. The Restricted Stock Units settle on the date of the director's termination of service with the Company. |
(3) | Restricted Stock Units do not have an expiration date. |
(4) | The Restricted Stock Units were granted on April 18, 2007 and vest in the incremental amount of 33% on the earlier of (i) April 18, 2008 or (ii) the date of the Company's 2008 Annual Meeting of Stockholders; 34% on the earlier of (i) April 18, 2009 or (ii) the date of the Company's 2009 Annual Meeting of Stockholders; and 33% on the earlier of (i) April 18, 2010 or (ii) the date of the Company's 2010 Annual Meeting of Stockholders. The Restricted Stock Units settle on the date of the director's termination of service with the Company. |
(5) | The Stock Appreciation Rights were granted on April 12, 2006 and vest on the earlier of (i) April 12, 2007 or (ii) the date of the Company's 2007 Annual Meeting of Stockholders. |
(6) | The Stock Appreciation Rights were granted on April 18, 2007 and vest on the earlier of (i) April 18, 2008 or (ii) the date of the Company's 2008 Annual Meeting of Stockholders. |
(7) | The Restricted Stock Units were granted on April 8, 2008 and vest in the incremental amount of 33% on the earlier of (i) April 8, 2009 or (ii) the date of the Company's 2009 Annual Meeting of Stockholders; 34% on the earlier of (i) April 8, 2010 or (ii) the date of the Company's 2010 Annual Meeting of Stockholders; and 33% on the earlier of (i) April 8, 2011 or (ii) the date of the Company's 2011 Annual Meeting of Stockholders. The Restricted Stock Units settle on the date of the director's termination of service with the Company. |
(8) | The Stock Appreciation Rights were granted on April 8, 2008 and vest on the earlier of (i) April 9, 2009 or (ii) the Company's 2009 Annual Meeting of Stockholders. |
(9) | The Restricted Stock Units were granted on April 9, 2009 and vest in the incremental amount of 33% on the earlier of (i) April 9, 2010 or (ii) the date of the Company's 2010 Annual Meeting of Stockholders; 34% on the earlier of (i) April 9, 2011 or (ii) the date of the Company's 2011 Annual Meeting of Stockholders; and 33% on the earlier of (i) April 9, 2012 or (ii) the date of the Company's 2012 Annual Meeting of Stockholders. The Restricted Stock Units settle on the date of the director's termination of service with the Company. |
(10) | The Stock Appreciation Rights were granted on April 9, 2009 and vest on the earlier of (i) April 9, 2010 or (ii) the date of the Company's 2010 Annual Meeting of Stockholders. |
(11) | The Restricted Stock Units were granted on April 13, 2010 and vest in the incremental amount of 33% on the earlier of (i) April 13, 2011 or (ii) the date of the Company's 2011 Annual Meeting of Stockholders; 34% on the earlier of (i) April 13, 2012 or (ii) the date of the Company's 2012 Annual Meeting of Stockholders; and 33% on the earlier of (i) April 13, 2013 or (ii) the date of the Company's 2013 Annual Meeting of Stockholders. The Restricted Stock Units settle on the date of the director's termination of service with the Company. |
(12) | The Stock Appreciation Rights were granted on April 13, 2010 and vest on the earlier of (i) April 13, 2011 or (ii) the date of the Company's 2011 Annual Meeting of Stockholders. |
(13) | The Restricted Stock units were granted on April 18, 2012 and vest on the earlier of (i) April 18, 2013 or (ii) the date of the Company's 2013 Annual Meeting of Stockholders. |