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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $ 12.97 | 06/10/2015 | M | 12,975 | (14) | 09/28/2015 | Common Stock | 12,975 | $ 0 | 154,655 | D | ||||
Employee Stock Option (right to buy) | $ 12.97 | 06/11/2015 | M | 12,860 | (14) | 09/28/2015 | Common Stock | 12,860 | $ 0 | 141,795 | D | ||||
Employee Stock Option (right to buy) | $ 12.97 | 06/12/2015 | M | 83,253 | (14) | 09/28/2015 | Common Stock | 83,253 | $ 0 | 58,542 | D | ||||
Employee Stock Option (right to buy) | $ 12.97 | 06/10/2015 | M | 12,619 | (14) | 09/28/2015 | Common Stock | 12,619 | $ 0 | 63,634 | I | See footnote (7) | |||
Employee Stock Option (right to buy) | $ 12.97 | 06/11/2015 | M | 12,930 | (14) | 09/28/2015 | Common Stock | 12,930 | $ 0 | 50,704 | I | See footnote (7) | |||
Employee Stock Option (right to buy) | $ 12.97 | 06/12/2015 | M | 42,223 | (14) | 09/28/2015 | Common Stock | 42,223 | $ 0 | 8,481 | I | See footnote (7) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zhang Jack Y. C/O AMPHASTAR PHARMACEUTICALS, INC. 11570 6TH STREET RANCHO CUCAMONGA, CA 91730 |
X | X | CEO & Chief Science Officer | |
Luo Mary Z. C/O AMPHASTAR PHARMACEUTICALS, INC. 11570 6TH STREET RANCHO CUCAMONGA, CA 91730 |
X | X | COO, Chief Scientist, Chairman |
/s/ Ken Stupak, by power of attorney for Jack Y. Zhang | 06/12/2015 | |
**Signature of Reporting Person | Date | |
/s/ Ken Stupak, by power of attorney for Mary Z. Luo | 06/12/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The reported securities were withheld to satisfy the Reporting Person's tax liability in connection with a previously reported option exercise. |
(2) | The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the each of the reporting persons on December 16, 2014. |
(3) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.25 to $16.61, inclusive. The reporting persons undertake to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (3), (5), (6), (8), (9) and (10) to this Form 4. |
(4) | The reported securities were withheld to satisfy the Reporting Person's tax liability in connection with the reported reported option exercise. |
(5) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.38 to $16.62, inclusive. |
(6) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.02 to $16.49, inclusive. |
(7) | The securities are held of record by Mary Z. Luo. The reporting persons are husband and wife. |
(8) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.24 to $16.55, inclusive. |
(9) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.37 to $16.61, inclusive. |
(10) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.03 to $16.39, inclusive. |
(11) | The shares are held of record by Applied Physics & Chemistry Laboratories, Inc., of which the reporting persons are the sole owners. |
(12) | The shares are held of record in an account for the benefit of the reporting persons' son. The reporting persons disclaims beneficial ownership of these shares, and the inclusion of these shares in this report should not be deemed an admission of beneficial ownership of any such shares for purposes of Section 16, or for any other purpose. |
(13) | The shares are held of record by a trust for the benefit of the reporting persons' son. The reporting persons disclaims beneficial ownership of these shares, and the inclusion of these shares in this report should not be deemed an admission of beneficial ownership of any such shares for purposes of Section 16, or for any other purpose. |
(14) | Shares subject to the option are fully vested and immediately exercisable. |