SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Zhou Rong

(Last) (First) (Middle)
C/O AMPHASTAR PHARMACEUTICALS, INC.
11570 6TH STREET

(Street)
RANCHO CUCAMONGA CA 91730

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/09/2015
3. Issuer Name and Ticker or Trading Symbol
Amphastar Pharmaceuticals, Inc. [ AMPH ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Production
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 25,688(1) D
Common Stock 99,668 I See footnote(2)
Common Stock 5,000 I See footnote(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee stock option (right to buy) (4) 12/21/2016 Common Stock 12,000 $30.57 D
Employee stock option (right to buy) (4) 12/30/2017 Common Stock 24,000 $31.65 D
Employee stock option (right to buy) (4) 08/28/2018 Common Stock 16,000 $35.32 D
Employee stock option (right to buy) (4) 08/05/2019 Common Stock 16,000 $20.26 D
Employee stock option (right to buy) (5) 03/08/2021 Common Stock 20,000 $11.41 D
Employee stock option (right to buy) (6) 12/22/2021 Common Stock 20,000 $14.23 D
Employee stock option (right to buy) (7) 11/07/2022 Common Stock 25,000 $10.48 D
Employee stock option (right to buy) (8) 07/30/2023 Common Stock 28,000 $10.93 D
Employee stock option (right to buy) (9) 04/14/2024 Common Stock 32,891 $14.4 D
Employee stock option (right to buy) (10) 03/26/2025 Common Stock 18,524 $14.95 D
Explanation of Responses:
1. Includes 6,187 shares represented by deferred stock units, or DSUs, which vest in four equal annual installments beginning on March 26, 2016.
2. The shares are held of record by the Zhou Family Trust for which the reporting person serves as a trustee.
3. The shares are held of record by the reporting person's spouse.
4. Shares subject to the option are fully vested and immediately exercisable.
5. Shares subject to the option vest in five equal annual installments beginning on March 8, 2012.
6. Shares subject to the option vest in four equal annual installments beginning on December 22, 2012.
7. Shares subject to the option vest in four equal annual installments beginning on November 7, 2013.
8. Shares subject to the option vest in four equal annual installments beginning on July 30, 2014.
9. Shares subject to the option vest in four equal annual installments beginning on April 14, 2015.
10. Shares subject to the option vest in four equal annual installments beginning on March 26, 2016.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Ken Stupak, by power of attorney 06/17/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.