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