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