0000899243-17-020857.txt : 20170822
0000899243-17-020857.hdr.sgml : 20170822
20170822171654
ACCESSION NUMBER: 0000899243-17-020857
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170821
FILED AS OF DATE: 20170822
DATE AS OF CHANGE: 20170822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SPURLOCK GREGORY E.
CENTRAL INDEX KEY: 0001578507
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16609
FILM NUMBER: 171045767
MAIL ADDRESS:
STREET 1: 100 BAYVIEW CIRCLE
STREET 2: SUITE 400
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alliance HealthCare Services, Inc
CENTRAL INDEX KEY: 0000817135
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 330239910
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18201 VON KARMAN AVE
STREET 2: SUITE 600
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: 949-242-5300
MAIL ADDRESS:
STREET 1: 18201 VON KARMAN AVE
STREET 2: SUITE 600
CITY: IRVINE
STATE: CA
ZIP: 92612
FORMER COMPANY:
FORMER CONFORMED NAME: ALLIANCE IMAGING INC /DE/
DATE OF NAME CHANGE: 19930328
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-08-21
1
0000817135
Alliance HealthCare Services, Inc
AIQ
0001578507
SPURLOCK GREGORY E.
C/O ALLIANCE HEALTHCARE SERVICES, INC.
100 BAYVIEW CIRCLE, SUITE 400
NEWPORT BEACH
CA
92660
0
1
0
0
President, Alliance Oncology
Common Stock
2017-08-21
4
D
0
7007
13.25
D
0
D
Restricted Stock Units
2017-08-21
4
D
0
4014
13.25
D
Common Stock
4014
0
D
Stock Option (right to buy)
6.20
2017-08-21
4
D
0
2000
7.05
D
2022-01-03
Common Stock
2000
0
D
Stock Option (right to buy)
12.70
2017-08-21
4
D
0
5511
0.55
D
2023-05-20
Common Stock
5511
0
D
Stock Option (right to buy)
28.70
2017-08-21
4
D
0
4011
0.00
D
2024-01-31
Common Stock
4011
0
D
Stock Option (right to buy)
23.91
2017-08-21
4
D
0
5439
0.00
D
2025-02-27
Common Stock
5439
0
D
Stock Option (right to buy)
6.93
2017-08-21
4
D
0
9986
6.32
D
2026-03-23
Common Stock
9986
0
D
Disposed of pursuant to the closing of the transactions contemplated by that certain Agreement and Plan of Merger, dated as of April 10, 2017 by and among the Issuer, Tahoe Investment Group Co., Ltd., THAIHOT Investment Company Limited, THAIHOT Investment Company US Limited and Alliance Healthcare Services Merger Sub Limited. Each share of Issuer common stock held by the reporting person was cancelled in the merger and converted into the right to receive $13.25 in cash per share, without interest and less any applicable withholding taxes (the "Merger Consideration").
Restricted Stock Units convert to common stock on a one to one basis upon the vesting thereof with no expiration date.
Restricted stock units were cancelled in the merger and converted into the right to receive a restricted cash award equal to (i) the number of shares of common stock subject to the restricted stock units multiplied by (ii) the Merger Consideration. The restricted cash award vests in equal amounts on March 23, 2018 and 2019, subject to continued service through each applicable vesting date..
Options were cancelled in the merger and converted into the right to receive an amount in cash determined by multiplying (i) the excess of the Merger Consideration over the option exercise price of such option by (ii) the number of shares of common stock subject to such option.
Lindsay Soule, as Attorney-in-Fact for Gregory E. Spurlock
2017-08-21