0001104659-18-043873.txt : 20180703 0001104659-18-043873.hdr.sgml : 20180703 20180703170629 ACCESSION NUMBER: 0001104659-18-043873 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180702 FILED AS OF DATE: 20180703 DATE AS OF CHANGE: 20180703 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: 18938310 MAIL ADDRESS: STREET 1: 11570 6TH STREET CITY: RANCHO CUCAMONGA STATE: CA ZIP: 91730 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: 18938311 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 2018-07-02 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 2018-07-02 4 M 0 319791 12.023 A 2400410 D Common Stock 2018-07-02 4 F 0 284516 15.39 D 2115894 D Common Stock 2018-07-02 4 M 0 186545 12.023 A 1532674 I See footnote Common Stock 2018-07-02 4 F 0 165968 15.39 D 1366706 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 2018-07-02 4 M 0 319791 0 D 2018-07-05 Common Stock 319791 0 D Employee Stock Option (right to buy) 12.023 2018-07-02 4 M 0 186545 0 D 2018-07-05 Common Stock 186545 0 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 Applied Physics & Chemistry Laboratories, Inc., of which the reporting persons and The Bill Luobei Zhang 2004 Irrevocable Trust (the "BLZ Trust") 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 the BLZ Trust. 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/ Eva Wen, by power of attorney for Jack Y. Zhang 2018-07-03 /s/ Eva Wen, by power of attorney for Mary Z. Luo 2018-07-03