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