4 1 g78272ae4.htm AMERICAN HEALTHWAYS, INC./HENRY D. HERR e4
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 4

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(h) of the Investment Company Act of 1940

o Check this box if no longer
subject to Section 16.
Form 4 or Form 5
obligations may continue.
See Instruction 1(b).

1. Name and Address of Reporting
Person*
(Last, First, Middle)
2. Issuer Name and Ticker or
Trading Symbol
3. I.R.S. Identification Number of Reporting
Person, if an entity
(Voluntary)
  Herr, Henry D.
  American Healthways, Inc. (AMHC)
 
  C/O American Healthways, Inc.
3841 Green Hills Village Drive

4. Statement for Month/Day/Year 5. If Amendment, Date of Original (Month/Day/Year)
    September 10, 2002
 
  (Street) 6. Relationship of Reporting Person(s)
to Issuer
(Check All Applicable)
7. Individual or Joint/Group Filing
(Check Applicable Line)
  Nashville, TN 37215
(City)                (State)           (Zip)
  x  Director o  10% Owner   x Form filed by One Reporting Person
    o  Officer (give title below)   o Form filed by More than One Reporting Person
    o  Other (specify below)  
       
     

*   If the form is filed by more than one reporting person, see instruction 4(b)(v).

 


 


Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)
2. Transaction Date
(Month/Day/Year)
2a. Deemed Execution
Date, if any.

(Month/Day/Year)
3. Transaction Code
(Instr. 8)
4. Securities Acquired (A)
or Disposed of (D)

(Instr. 3, 4 and 5)
5. Amount of Securities
Beneficially Owned
Following Reported
Transactions(s)

(Instr. 3 and 4)
6. Ownership
Form:
Direct (D) or
Indirect (I)

(Instr. 4)
7. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

              Code V   Amount (A)
or
(D)
Price            

  Common Stock   09/10/02   S   40,000   D $16.14     457,183     D  

  Common Stock               54,232     I   Held by wife

  Common Stock               1,731     I   Held in 401(k) Plan

                     

                     

                     

                     

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Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned
  (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
Security

(Instr. 3)
2. Conversion or Exercise
Price of Derivative
Security
3. Transaction
Date

(Month/Day/Year)
3a. Deemed Execution
Date, if any

(Month/Day/Year)
4. Transaction
Code

(Instr. 8)
5. Number of Derivative Securities
Acquired (A) or Disposed of (D)

(Instr. 3, 4 and 5)

                      Code V   (A) (D)

  Option to Buy   $1.14          

  Option to Buy   $1.14          

  Option to Buy   $3.12          

  Option to Buy   $4.95          

  Option to Buy   $4.13          

  Option to Buy   $3.77          

  Option to Buy   $23.15          

             

             

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Table II — Derivative Securities Acquired, Disposed of, or Beneficially Owned — Continued
(e.g., puts, calls, warrants, options, convertible securities)

6. Date Exercisable and
Expiration Date

(Month/Day/Year)
7. Title and Amount
of Underlying Securities

(Instr. 3 and 4)
8. Price of Derivative
Security

(Instr. 5)
9. Number of Derivative
Securities Beneficially Owned
Following Reported Transaction(s)

(Instr. 4)
10. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 4)
11. Nature of
Indirect
Beneficial
Ownership

(Instr. 4)

  Date
Exercisable
Expiration
Date
  Title Amount or
Number of
Shares
                       

  12/03/97 10/19/04   Common Stock 17,505         17,505     D  

  12/03/97 09/27/05   Common Stock 23,466         23,466     D  

  12/03/97 10/16/06   Common Stock 22,500         22,500     D  

  * 09/29/08   Common Stock 18,750         18,750     D  

  ** 11/12/09   Common Stock 22,500         22,500     D  

  *** 09/29/10   Common Stock 22,500         22,500     D  

  **** 10/08/11   Common Stock 25,001         25,001     D  

                 

                 

Explanation of Responses:

* Option vests 25% per year beginning 09/29/99 and ending 09/29/02

** Option vests 25% per year beginning 11/12/00 and ending 11/12/03

*** Option vests 25% per year beginning 09/29/01 and ending 09/29/04

**** Option vests 25% per year beginning 10/08/02 and ending 10/08/05

/s/ Henry D. Herr by Mary Chaput POA   09/11/02

**Signature of Reporting Person
 
Date


Reminder:   Report on a separate line for each class of securities beneficially owned directly or indirectly.
 
**   Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
 
Note:   File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instructions 6 for procedure.
 

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