0001250853-22-000120.txt : 20221209 0001250853-22-000120.hdr.sgml : 20221209 20221209184349 ACCESSION NUMBER: 0001250853-22-000120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221207 FILED AS OF DATE: 20221209 DATE AS OF CHANGE: 20221209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Young Albert WaiChow CENTRAL INDEX KEY: 0001725420 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 221455862 MAIL ADDRESS: STREET 1: 1668 S. GARFIELD AVE. STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lam Thomas S. CENTRAL INDEX KEY: 0001664499 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 221455864 MAIL ADDRESS: STREET 1: 1668 GARFIELD AVE., 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSION MEDICAL Corp CENTRAL INDEX KEY: 0001725602 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 221455865 BUSINESS ADDRESS: STREET 1: 1668 S. GARFIELD AVE. STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 BUSINESS PHONE: 6262820288 MAIL ADDRESS: STREET 1: 1668 S. GARFIELD AVE. STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sim Kenneth T. CENTRAL INDEX KEY: 0001725499 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37392 FILM NUMBER: 221455863 MAIL ADDRESS: STREET 1: 1668 S. GARFIELD AVE. STREET 2: 2ND FLOOR CITY: ALHAMBRA STATE: CA ZIP: 91801 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apollo Medical Holdings, Inc. CENTRAL INDEX KEY: 0001083446 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2022-12-07 0 0001083446 Apollo Medical Holdings, Inc. AMEH 0001725602 ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSION MEDICAL Corp 1668 S. GARFIELD AVE. 2ND FLOOR ALHAMBRA CA 91801 0 0 1 0 0001664499 Lam Thomas S. 1668 GARFIELD AVE., 2ND FLOOR ALHAMBRA CA 91801 1 1 0 0 President and Co-CEO 0001725499 Sim Kenneth T. 1668 S. GARFIELD AVE. 2ND FLOOR ALHAMBRA CA 91801 1 1 0 0 Executive Chairman 0001725420 Young Albert WaiChow 1668 S. GARFIELD AVE. 2ND FLOOR ALHAMBRA CA 91801 0 1 0 0 Chief Administrative Officer Common Stock 2022-12-07 4 M 0 55337 10 A 10246997 D Common Stock 2022-12-07 4 M 0 52262 11 A 10299259 D Warrants to purchase Common Stock 10 2022-12-07 4 M 0 55337.13 D 2017-12-08 2022-12-08 Common Stock 55337.13 0 D Warrants to purchase Common Stock 11 2022-12-07 4 M 0 52262.84 D 2017-12-08 2022-12-08 Common Stock 52262.84 0 D These shares are owned directly by the Reporting Person, and indirectly by Kenneth Sim, Thomas Lam, and Albert Young, each of whom is a director, officer and shareholder of the Reporting Person. On December 8, 2017, a reverse merger transaction between the Issuer and Network Medical Management, Inc. ("NMM") was consummated such that NMM became a wholly-owned subsidiary of the Issuer (the "Merger). Immediately prior to the closing of the Merger, the Reporting Person was a shareholder of NMM. Pursuant to the Merger, the shares of NMM common stock previously held by Reporting Person were converted into certain securities of the Issuer and other consideration, including (i) a warrant to purchase 55,337.13 shares of common stock of the Issuer at an exercise price of $10.00 per share and (ii) a warrant to purchase 52,262.84 shares of common stock of the Issuer at an exercise price of $11.00 per share. /s/ Thomas S. Lam, Chief Executive Officer 2022-12-09 /s/ Thomas S. Lam 2022-12-09 /s/ Kenneth T. Sim 2022-12-09 /s/ Albert WaiChow Young 2022-12-09