X0203 3 2010-10-27 0 0001498021 ExamWorks Group, Inc. EXAM 0001501277 LeMaire Joshua W. 3280 PEACHTREE ROAD, N.E., SUITE 2625 ATLANTA GA 30305 0 1 0 0 VP, Sales and Marketing Common Stock 45226 D Series A Convertible Preferred Stock Common Stock 7763 D Employee Stock Option (right to buy) 2.80 2019-04-03 Common Stock 51411 D Employee Stock Option (right to buy) 3.89 2019-08-14 Common Stock 12852 D Employee Stock Option (right to buy) 4.86 2020-02-15 Common Stock 25705 D Employee Stock Option (right to buy) 7.79 2020-07-14 Common Stock 38558 D Employee Stock Option (right to buy) 11.67 2020-10-06 Common Stock 25705 D Each share of Series A Convertible Preferred Stock will automatically convert into one share of common stock simultaneously upon the completion of the Issuer's initial public offering and has no expiration date. Options to purchase 34,271 shares of common stock are currently vested. Options to purchase 17,140 shares of common stock will vest and become exercisable upon the consummation of the Registrant's initial public offering. Options to purchase 4,282 shares of common stock are currently vested. Options to purchase 8,570 shares of common stock will vest and become exercisable upon the consummation of the Registrant's initial public offering. The shares subject to the option vest in three equal annual installments beginning on February 15, 2011. The shares subject to the option vest in three equal annual installments beginning on July 1, 2011. The shares subject to the option vest in three equal annual installments beginning on October 1, 2011. /s/ J. Miguel Fernandez de Castro, as Attorney-In-Fact 2010-10-27