0001572823-13-000014.txt : 20130807 0001572823-13-000014.hdr.sgml : 20130807 20130807144038 ACCESSION NUMBER: 0001572823-13-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130131 FILED AS OF DATE: 20130807 DATE AS OF CHANGE: 20130807 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apollo Medical Holdings, Inc. CENTRAL INDEX KEY: 0001083446 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 870042699 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 450 NORTH BRAND BLVD., STREET 2: SUITE 600 CITY: GLENDALE STATE: CA ZIP: 91203 BUSINESS PHONE: 818-507-4617 MAIL ADDRESS: STREET 1: 700 N. BRAND BLVD., STREET 2: SUITE 450 CITY: GLENDALE STATE: CA ZIP: 91203 FORMER COMPANY: FORMER CONFORMED NAME: SICLONE INDUSTRIES INC DATE OF NAME CHANGE: 19990413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meyers Mark CENTRAL INDEX KEY: 0001572823 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25809 FILM NUMBER: 131017027 MAIL ADDRESS: STREET 1: 700 NORTH BRAND BLVD. STREET 2: SUITE 450 CITY: GLENDALE STATE: CA ZIP: 91203 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2013-01-31 0 0001083446 Apollo Medical Holdings, Inc. a 0001572823 Meyers Mark 700 NORTH BRAND BLVD. SUITE 450 GLENDALE CA 91203 1 1 0 0 Chief Strategy Officer Convertible Promissory Note 0.4 2013-01-31 4 P 0 2 50000 A 2013-01-31 2016-02-15 Common Stock and Warrants to Purchase Common Stock 2 D The reporting person purchased 2 Units of the Issuer's Convertible Promissory Note (the "Note") for $50,000 per Unit. Each Unit consists of the right to convert the debt to 125,000 shares of the issuer's common stock at $0.40 per share and warrants to purchase 37,500 of a share of common stock at the exercise price of $0.40 per share. The reporting person may exercise the option to convert the note any time before its maturity date. The Note matures on February 15, 2016. /s/ Mark Meyers 2013-08-07