Filing Details

Accession Number:
0001437749-15-016893
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-09-04 17:11:35
Reporting Period:
2015-09-02
Filing Date:
2015-09-04
Accepted Time:
2015-09-04 17:11:35
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
1501283 J. Kevin Kozlowski 1820 Ringling Blvd
Sarasota FL 34236
Chief Information Officer 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 2015-09-02 27,276 $2.81 60,159 No 4 M Direct
Common Stock Disposition 2015-09-02 13,638 $34.36 46,521 No 4 S Direct
Common Stock Disposition 2015-09-02 13,638 $34.36 32,883 No 4 S Direct
Common Stock Acquisiton 2015-09-02 30,847 $3.90 63,730 No 4 M Direct
Common Stock Disposition 2015-09-02 15,424 $34.36 48,306 No 4 S Direct
Common Stock Disposition 2015-09-02 15,423 $34.36 32,883 No 4 S Direct
Common Stock Acquisiton 2015-09-02 2,591 $4.86 35,474 No 4 M Direct
Common Stock Disposition 2015-09-02 1,295 $34.36 34,179 No 4 S Direct
Common Stock Disposition 2015-09-02 1,296 $34.36 32,883 No 4 S Direct
Common Stock Acquisiton 2015-09-02 9,286 $9.47 42,169 No 4 M Direct
Common Stock Disposition 2015-09-02 4,643 $34.36 37,526 No 4 S Direct
Common Stock Disposition 2015-09-02 4,643 $34.36 32,883 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 4 S Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
No 4 M Direct
No 4 S 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 2015-09-02 27,276 $0.00 27,276 $2.81
Common Stock Employee Stock Option (right to buy) Disposition 2015-09-02 30,847 $0.00 30,847 $3.90
Common Stock Employee Stock Option (right to buy) Disposition 2015-09-02 2,591 $0.00 2,591 $4.86
Common Stock Employee Stock Option (right to buy) Disposition 2015-09-02 9,286 $0.00 9,286 $9.47
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2018-08-07 No 4 M Direct
0 2019-08-14 No 4 M Direct
0 2020-02-15 No 4 M Direct
44,014 2022-01-04 No 4 M Direct
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $33.75 to $34.49, inclusive. The Reporting Person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.30 to $35.24, inclusive. The Reporting Person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4.
  3. On August 7, 2008, the reporting person was granted an option to purchase 100,231 shares of common stock. The option vested one third on July 14, 2009, one third July 14, 2010 with the remaining one third vesting upon the Registrant's initial public offering on October 28, 2010.
  4. On August 14, 2009, the reporting person was granted an option to purchase 30,847 shares of common stock. The option vested one third on July 1, 2010, with the remaining two thirds vesting upon the Registrant's initial public offering on October 28, 2010.
  5. On February 15, 2010, the reporting person was granted an option to purchase 2,591 shares of common stock. The option vested in three equal annual installments beginning on February 15, 2011.
  6. On January 4, 2012, the reporting person was granted an option to purchase 53,300 shares of common stock. The option vested in three equal annual installments beginning on January 4, 2013.