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