0001209191-19-061066.txt : 20191218 0001209191-19-061066.hdr.sgml : 20191218 20191218103855 ACCESSION NUMBER: 0001209191-19-061066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191216 FILED AS OF DATE: 20191218 DATE AS OF CHANGE: 20191218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SALKA SUSAN R CENTRAL INDEX KEY: 0001158584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16753 FILM NUMBER: 191291627 MAIL ADDRESS: STREET 1: 14778 EL RODEO CT. CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 FORMER NAME: FORMER CONFORMED NAME: NOWAKOWSKI SUSAN DATE OF NAME CHANGE: 20010904 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMN HEALTHCARE SERVICES INC CENTRAL INDEX KEY: 0001142750 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 061500476 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: 8668718519 MAIL ADDRESS: STREET 1: 12400 HIGH BLUFF DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-12-16 0 0001142750 AMN HEALTHCARE SERVICES INC AMN 0001158584 SALKA SUSAN R 8840 CYPRESS WATERS BLVD., SUITE 300 COPPELL TX 75019 1 1 0 0 President and CEO Common Stock 2019-12-17 4 M 0 7322 0.00 A 136865 D Common Stock 2019-12-17 4 F 0 2881 59.48 D 133984 D Restricted Stock Units 2019-12-17 4 M 0 7322 0.00 D Common Stock 7322 0 D Restricted Stock Units 2019-12-16 4 A 0 20755 0.00 A Common Stock 20755 20755 D Common Stock acquired on the vesting of Restricted Stock Units. Number of shares withheld for tax purposes. The Restricted Stock Units set forth in this row were granted pursuant to the AMN Healthcare 2017 Equity Plan. Each Restricted Stock Unit represents a contingent right to receive one share of AMN Common Stock. The Restricted Stock Units were granted on December 17, 2018 and vest on the first, second and third anniversary of the grant date and the grantees provision of three periods of credited service. Restricted Stock Units do not have an expiration date. The Restricted Stock Units were granted on December 16, 2019 and vest on the first, second and third anniversary of the grant date and the grantees provision of three periods of credited service. /s/ Susan R. Salka 2019-12-18