SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LLOYD CHRISTOPHER

(Last) (First) (Middle)
11700 KATY FREEWAY, SUITE 300

(Street)
HOUSTON TX 77097

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Nobilis Health Corp. [ HLTH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
08/04/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 2,066,434 D
Common Shares 08/04/2015 J(4) 1,077,312 A $6.8 3,143,746 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options $1.65(2) 12/01/2014(1) 12/01/2024 Common Shares 1,048,218 1,048,218 D
Stock Options $2.97(3) 01/01/2015 01/01/2025 Common Shares 451,782 451,782 D
Explanation of Responses:
1. The options vest as to 48,218 on January 1, 2015, 500,000 on November 26, 2015 and 500,000 on November 26, 2016.
2. Stock Options granted at C$1.87. Conversion rate at December 1, 2014 was 0.8815 [1.1344], based on the Bank of Canada noon rate.
3. Stock Options granted at C$3.44. Conversion rate at December 31, 2014 was 0.8620 [1.1601], based on the Bank of Canada noon rate.
4. The Common Shares were acquired pursuant to a confidential agreement effective June 30, 2015 (the "Agreement") filed with the Securities and Exchange Commission as Exhibit 10.1 to the Form 10-Q Quarterly Report filed by Nobilis Health Corp. (the "Issuer") on August 14, 2015.
/s/ Natalie Kurz, Attorney-In-Fact 08/19/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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