0000899243-17-020859.txt : 20170822
0000899243-17-020859.hdr.sgml : 20170822
20170822172021
ACCESSION NUMBER: 0000899243-17-020859
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: ROSOW CHRISTIANNA S
CENTRAL INDEX KEY: 0001670023
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16609
FILM NUMBER: 171045794
MAIL ADDRESS:
STREET 1: C/O ALLIANCE HEALTHCARE SERVICES, INC.
STREET 2: 100 BAYVIEW CIRCLE, 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
0001670023
ROSOW CHRISTIANNA S
C/O ALLIANCE HEALTHCARE SERVICES, INC.
100 BAYVIEW CIRCLE, SUITE 400
NEWPORT BEACH
CA
92660
0
1
0
0
Principal Accounting Officer
Common Stock
2017-08-21
4
D
0
613
13.25
D
0
D
Restricted Stock Units
2017-08-21
4
D
0
356
13.25
D
Common Stock
356
0
D
Restricted Stock Units
2017-08-21
4
D
0
53
13.25
D
Common Stock
53
0
D
Stock Option (right to buy)
6.93
2017-08-21
4
D
0
886
6.32
D
2026-03-23
Common Stock
886
0
D
Stock Option (right to buy)
7.02
2017-08-21
4
D
0
130
6.23
D
2023-05-21
Common Stock
130
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.
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 25, 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 Christianna S. Rosow
2017-08-21