0001729149-21-000086.txt : 20210510 0001729149-21-000086.hdr.sgml : 20210510 20210510161703 ACCESSION NUMBER: 0001729149-21-000086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210509 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fitzgerald Trae CENTRAL INDEX KEY: 0001782065 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38973 FILM NUMBER: 21907443 MAIL ADDRESS: STREET 1: 625 E KALISTE SALOOM RD CITY: LAFAYETTE STATE: LA ZIP: 70508 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VIEMED HEALTHCARE, INC. CENTRAL INDEX KEY: 0001729149 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 625 E. KALISTE SALOOM RD. CITY: LAFAYETTE STATE: LA ZIP: 70508 BUSINESS PHONE: 337.504.3802 MAIL ADDRESS: STREET 1: 625 E. KALISTE SALOOM RD. CITY: LAFAYETTE STATE: LA ZIP: 70508 4 1 wf-form4_162067780509769.xml FORM 4 X0306 4 2021-05-09 0 0001729149 VIEMED HEALTHCARE, INC. VMD 0001782065 Fitzgerald Trae 625 E. KALISTE SALOOM RD. LAFAYETTE LA 70508 0 1 0 0 Chief Financial Officer Common Shares 2021-05-09 4 M 0 14621 A 67922 D Common Shares 2021-05-09 4 D 0 14621 9.57 D 53301 D Common Shares 2021-05-09 4 M 0 1338 A 54639 D Common Shares 2021-05-09 4 D 0 1338 9.57 D 53301 D Common Shares 2021-05-09 4 M 0 1087 A 54388 D Common Shares 2021-05-09 4 D 0 1087 9.57 D 53301 D Phantom Share Units 2021-05-09 4 A 0 3472 0 A 2024-05-09 Common Shares 3472.0 3472 D Phantom Share Units 2021-05-09 4 M 0 14621 0 D 2021-05-09 Common Shares 14621.0 0 D Phantom Share Units 2021-05-09 4 M 0 1338 0 D 2022-05-09 Common Shares 1338.0 1337 D Phantom Share Units 2021-05-09 4 M 0 1087 0 D 2023-05-09 Common Shares 1087.0 2174 D Represents vesting of cash-settled phantom shares granted under the Issuer's Phantom Share Unit Plan. Each phantom share is the economic equivalent of one share of the Company's common shares. The settlement of the phantom shares for cash is reported on this Form 4 as a disposition of the phantom shares being settled in exchange for the acquisition of the underlying Company common shares, and a simultaneous disposition of the underlying Company common shares to the Company for cash. Each share of phantom stock represents a right to receive the cash value of one share of the Issuer's common shares which will be determined based on the Issuer's share price on the vesting date. Represents an award granted in 2021 under the Issuer's Phantom Share Unit Plan which vests in equal installments on May 9, 2022, May 9, 2023, and May 9, 2024, subject to the Reporting Person's continued employment with the Issuer on such vesting date. Represents an award granted in 2018 under the Issuer's Phantom Share Unit Plan which vests on May 9, 2021, subject to the Reporting Person's continued employment with the Issuer on such vesting date. Represents an award granted in 2019 under the Issuer's Phantom Share Unit Plan which vests in equal installments on May 9, 2021 and May 9, 2022, subject to the Reporting Person's continued employment with the Issuer on such vesting date. Represents an award granted in 2020 under the Issuer's Phantom Share Unit Plan which vests in equal installments on May 9, 2021, May 9, 2022, and May 9, 2023, subject to the Reporting Person's continued employment with the Issuer on such vesting date. /s/ Trae Fitzgerald 2021-05-10