0001437749-14-009284.txt : 20140515
0001437749-14-009284.hdr.sgml : 20140515
20140515170227
ACCESSION NUMBER: 0001437749-14-009284
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140513
FILED AS OF DATE: 20140515
DATE AS OF CHANGE: 20140515
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kozlowski Kevin J.
CENTRAL INDEX KEY: 0001501283
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34930
FILM NUMBER: 14848615
MAIL ADDRESS:
STREET 1: 3280 PEACHTREE ROAD
STREET 2: SUITE 2625
CITY: ATLANTA
STATE: GA
ZIP: 30305
4
1
rdgdoc.xml
FORM 4
X0306
4
2014-05-13
0001498021
ExamWorks Group, Inc.
EXAM
0001501283
Kozlowski Kevin J.
3280 PEACHTREE ROAD, N.E.
SUITE 2625
ATLANTA
GA
30305
1
Chief Information Officer
Common Stock
2014-05-13
4
M
0
12955
2.81
A
151291
D
Common Stock
2014-05-13
4
S
0
12955
32.30
D
138336
D
Common Stock
2014-05-13
4
S
0
113731
32.30
D
24605
D
Employee Stock Option (right to buy)
2.81
2014-05-13
4
M
0
12955
0
D
2018-08-07
Common Stock
12955
27276
D
On August 7, 2008, the reporting person was granted an option to purchase 100,231 shares of common stock. The option vested in three equal annual installments beginning on August 7, 2009.
/s/ Clare Arguedas, Attorney-In-Fact
2014-05-15