0001437749-12-000288.txt : 20120106 0001437749-12-000288.hdr.sgml : 20120106 20120106162737 ACCESSION NUMBER: 0001437749-12-000288 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120104 FILED AS OF DATE: 20120106 DATE AS OF CHANGE: 20120106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arguedas Clare CENTRAL INDEX KEY: 0001501276 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34930 FILM NUMBER: 12514897 MAIL ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: GA ZIP: 30305 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ExamWorks Group, Inc. CENTRAL INDEX KEY: 0001498021 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 272909425 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: GA ZIP: 30305 BUSINESS PHONE: 404-952-2400 MAIL ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: GA ZIP: 30305 4 1 rdgdoc.xml PRIMARY DOCUMENT X0304 4 2012-01-04 0001498021 ExamWorks Group, Inc. EXAM 0001501276 Arguedas Clare 3280 PEACHTREE ROAD, N.E. SUITE 2625 ATLANTA GA 30305 1 GC, EVP and Secretary Employee Stock Option (right to buy) 9.47 2012-01-04 4 A 0 40000 0 A 2022-01-04 Common Stock 40000 40000 D The option vests in three equal annual installments beginning on January 4, 2013. /s/ Clare Arguedas 2012-01-06