Filing Details

Accession Number:
0001188112-10-002958
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-11-02 18:05:27
Reporting Period:
2010-11-01
Filing Date:
2010-11-02
Accepted Time:
2010-11-02 18:05:27
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1498021 Examworks Group Inc. EXAM Services-Health Services (8000) 272909425
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1192058 Wesley Campbell 3280 Peachtree Road, N.e., Suite 2625
Atlanta GA 30305
President No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-11-01 46,059 $2.80 46,059 No 4 M Direct
Common Stock Disposition 2010-11-02 46,059 $16.00 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Employee Stock Option (right to buy) Disposition 2010-11-01 46,059 $0.00 46,059 $2.80
Common Stock Employee Stock Option (right to buy) Acquisiton 2010-10-06 102,822 $0.00 102,822 $11.67
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
204,518 2018-08-07 No 4 M Direct
102,822 2020-10-06 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 25,230 Indirect by ExamWorks Holdings, LLLP
Footnotes
  1. The reporting person is one of the limited partners of ExamWorks Holdings, LLLP. ExamWorks Holdings, LLLP currently owns 6,055,216 shares of common stock. If ExamWorks Holdings, LLLP distributed such shares of common stock to its limited partners, the reporting person would own 25,230 shares. As a limited partner, the reporting person has no right to participate in the decisions concerning the voting, disposition or conversion of any such securities, and he accordingly disclaims beneficial ownership of the securities held by ExamWorks Holdings, LLLP.
  2. On August 7, 2008, the reporting person was granted options to purchase 250,577 shares of common stock. Options to purchase 83,524 shares of common stock vested on July 14, 2009. Options to purchase 83,525 shares of common stock vested on July 14, 2010. Options to purchase 83,528 shares of common stock vested upon the consummation of the Registrant's initial public offering.
  3. The shares subject to the option vest in three equal annual installments beginning on October 1, 2011.