0001104659-23-127015.txt : 20231218
0001104659-23-127015.hdr.sgml : 20231218
20231218195423
ACCESSION NUMBER: 0001104659-23-127015
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231215
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dai, Weili
CENTRAL INDEX KEY: 0001134140
ORGANIZATION NAME:
FISCAL YEAR END: 0131
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37392
FILM NUMBER: 231495284
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVENUE
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
FORMER NAME:
FORMER CONFORMED NAME: Weili Dai & Sehat Sutardja
DATE OF NAME CHANGE: 20050310
FORMER NAME:
FORMER CONFORMED NAME: DAI WEILI
DATE OF NAME CHANGE: 20010208
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Medical Holdings, Inc.
CENTRAL INDEX KEY: 0001083446
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 870042699
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1668 S. GARFIELD AVENUE
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
BUSINESS PHONE: (626) 282-0288
MAIL ADDRESS:
STREET 1: 1668 S. GARFIELD AVENUE
STREET 2: 2ND FLOOR
CITY: ALHAMBRA
STATE: CA
ZIP: 91801
FORMER COMPANY:
FORMER CONFORMED NAME: SICLONE INDUSTRIES INC
DATE OF NAME CHANGE: 19990413
4
1
tm2333076-2_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-12-15
0
0001083446
Apollo Medical Holdings, Inc.
AMEH
0001134140
Dai, Weili
1668 S. GARFIELD AVE
2ND FLOOR
ALHAMBRA
CA
91801
1
0
0
0
0
Common Stock
2023-12-15
4
A
0
3650
0
A
3650
D
Restricted shares of the Issuer's common stock granted pursuant to the Issuer's 2015 Equity Incentive Plan, which shall vest on December 9, 2024 (or if earlier, upon the date of the Reporting Person's cessation of service on the Issuer's board of directors).
Includes 3,650 shares of restricted stock, which will vest on December 9, 2024.
/s/ Weili Dai
2023-12-15