0001188112-11-002184.txt : 20110809
0001188112-11-002184.hdr.sgml : 20110809
20110809181700
ACCESSION NUMBER: 0001188112-11-002184
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110809
FILED AS OF DATE: 20110809
DATE AS OF CHANGE: 20110809
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ExamWorks Group, Inc.
CENTRAL INDEX KEY: 0001498021
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 272909425
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 404-952-2400
MAIL ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHUTZER WILLIAM A
CENTRAL INDEX KEY: 0001016750
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34930
FILM NUMBER: 111022198
MAIL ADDRESS:
STREET 1: C/O TIFFANY & CO LEGAL DEPT
STREET 2: 727 FIFTH AVE
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
edgar.xml
PRIMARY DOCUMENT
X0304
4
2011-08-09
0001498021
ExamWorks Group, Inc.
EXAM
0001016750
SHUTZER WILLIAM A
3280 PEACHTREE ROAD, N.E., SUITE 2625
ATLANTA
GA
30305
1
0
0
0
Common Stock
2011-08-09
4
P
0
10000
13.04
A
582205
D
Common Stock
555061
I
by Shutzer Family Grantor Retained Annuity Trust
Common Stock
25705
I
by Shutzer Family Limited Partnership
The price reported in Column 4 is a weighted average price. These shares were acquired in multiple transactions at prices ranging from $12.87 to $13.27, inclusive. The reporting person undertakes to provide ExamWorks Group, Inc., any security holder of ExamWorks Group, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote to this Form 4.
The reporting person's wife is a general partner of the Shutzer Family Limited Partnership. The reporting person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities by purposes of Section 16 or for any other purpose.
/s/ Clare Arguedas, Attorney-In-Fact
2011-08-09