0001104659-17-068630.txt : 20171114 0001104659-17-068630.hdr.sgml : 20171114 20171114193921 ACCESSION NUMBER: 0001104659-17-068630 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171113 FILED AS OF DATE: 20171114 DATE AS OF CHANGE: 20171114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Luo Mary Z. CENTRAL INDEX KEY: 0001611156 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36509 FILM NUMBER: 171203542 MAIL ADDRESS: STREET 1: 11570 6TH STREET CITY: RANCHO CUCAMONGA STATE: CA ZIP: 91730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zhang Jack Y. CENTRAL INDEX KEY: 0001611157 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36509 FILM NUMBER: 171203543 MAIL ADDRESS: STREET 1: 11570 6TH STREET CITY: RANCHO CUCAMONGA STATE: CA ZIP: 91730 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amphastar Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001297184 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 330702205 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11570 SIXTH STREET CITY: RANCHO CUCAMONGA STATE: CA ZIP: 91730 BUSINESS PHONE: 909-980-9484 MAIL ADDRESS: STREET 1: 11570 SIXTH STREET CITY: RANCHO CUCAMONGA STATE: CA ZIP: 91730 4 1 a4.xml 4 X0306 4 2017-11-13 0 0001297184 Amphastar Pharmaceuticals, Inc. AMPH 0001611157 Zhang Jack Y. C/O AMPHASTAR PHARMACEUTICALS, INC. 11570 6TH STREET RANCHO CUCAMONGA CA 91730 1 1 1 0 CEO & Chief Scientific Officer 0001611156 Luo Mary Z. C/O AMPHASTAR PHARMACEUTICALS, INC. 11570 6TH STREET RANCHO CUCAMONGA CA 91730 1 1 1 0 COO,Chief Scientist & Chairman Common Stock 2017-11-13 4 M 0 319792 12.023 D 1897847 D Common Stock 2017-11-13 4 M 0 186545 12.023 D 1263378 I See footnote Common Stock 7461594 I See footnote Common Stock 5000 I See footnote Common Stock 200000 I See footnote Employee Stock Option (right to buy) 12.023 2017-11-13 4 M 0 319792 0 D 2018-07-05 Common Stock 319792 959375 D Employee Stock Option (right to buy) 12.023 2017-11-13 4 M 0 186545 0 D 2018-07-05 Common Stock 186545 559636 I See footnote The securities are held of record by Mary Z. Luo. The reporting persons are husband and wife. The shares are held of record by APCL, of which the reporting persons are the sole owners. The shares are held of record in an account for the benefit of the reporting persons' son. The reporting persons disclaim beneficial ownership of these shares, and the inclusion of these shares in this report should not be deemed an admission of beneficial ownership of any such shares for purposes of Section 16, or for any other purpose. The shares are held of record by a trust for the benefit of the reporting persons' son. The reporting persons disclaim beneficial ownership of these shares, and the inclusion of these shares in this report should not be deemed an admission of beneficial ownership of any such shares for purposes of Section 16, or for any other purpose. Shares subject to the option are fully vested and immediately exercisable. /s/ Ken Stupak, by power of attorney for Jack Y. Zhang 2017-11-14 /s/ Ken Stupak, by power of attorney for Mary Z. Luo 2017-11-14