o
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Preliminary
Information Statement
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¨
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Confidential,
for use of the Commission Only (as permitted by Rule
14c-5(d)(2))
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ý
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Definitive
Information Statement
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APOLLO
MEDICAL HOLDINGS, INC.
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(Name
of Registrant as Specified in its Charter)
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Payment
of Filing Fee (Check the appropriate box)
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ý
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No
fee required
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¨
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Fee
computed on table below per Exchange Act Rules 14c-5(g) and
0-11
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(1)
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Title
of each class of securities to which transaction applies:
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(2)
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Aggregate
number of securities to which transaction applies:
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(3)
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Per
unit price or other underlying value of transaction computed pursuant to
Exchange Act Rule 0-11 (set forth the amount on which the filing fee
is calculated and state how it was determined):
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(4)
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Proposed
maximum aggregate value of transaction:
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(5)
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Total
fee paid:
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¨
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Fee
paid previously with preliminary materials.
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¨
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Check
box if any part of the fee is offset as provided by Exchange Act
Rule 0-11(a)(2) and identify the filing for which the offsetting fee
was paid previously. Identify the previous filing by registration
statement number, or the Form or Schedule and the date of its
filing.
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(1)
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Amount
Previously Paid:
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(2)
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Form,
Schedule or Registration Statement No.:
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(3)
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Filing
Party:
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(4)
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Date
Filed:
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1.
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Call
Apollo Medical Holdings, Inc. at (877)
340-3290
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2.
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Visit
our website at www.apollomed.net
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3.
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Send
us an email at ir@apollomed.net Please clearly state the name and
mailing address or email address to which the material should be
sent.
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By
Order of the Board of Directors,
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By:
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/s/ WARREN HOSSEINION
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Warren
Hosseinion
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Chief
Executive Officer
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Number of Shares to
be Issued Upon
Exercise of
Outstanding
Options, Warrants
and Rights
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Weighted-Average
Exercise Price of
Outstanding Options,
Warrants and Rights
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Number of Shares
Remaining Available
For Future Issuance
Under Equity
Compensation Plans
(Excluding Shares
Reflected In Column
(a))
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(a)
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(b)
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(c)
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Equity
compensation plans approved by our stockholders:
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— | — | — | |||||||||
Equity
compensation plans not approved by our stockholders (1)
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1,198,887 | $ | 0.18 | 561,113 |
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(1)
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The
amounts reported include: (i) 250,000 shares of common stock issued to A.
Noel DeWinter, the Company’s Chief Financial Officer, pursuant to an
employment agreement with the Company, dated September 10, 2008; (ii) a
stock award of 1,100,000 shares to Kaneohe (Kyle Francis) of which 50,000
shares were issued under a consulting contract signed October 22,
2008, 700,000 shares issued under a contract dated March 15, 2009,
and an additional 350,000 shares to be issued on March 15, 2011;
(iii) up to 400,000 shares of common stock that are issuable to Suresh
Nihalani under a director agreement with the Company, dated as October 27,
2008. The shares are issuable to Mr. Nihalani ratably over a
thirty-six month period commencing December 2008, so long as Mr. Nihalani
continues to serve as a director. As of April 30, 2010, 188,887
shares had been issued under the director agreement, and 211,113 shares
remained unissued; and (iv) 10,000 shares granted to an
employee.
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Name
and Address of Beneficial Owner (1)
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Shares Beneficially
Owned
(2)
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Percent
of
Class
(3)
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Warren
Hosseinion, M.D.
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9,123,387 | 33.2 | % | |||||
Adrian
Vazquez, M.D
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9,123,387 | 33.2 | % | |||||
A.
Noel DeWinter
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250,000 | * | ||||||
Suresh
Nihalani (4)
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211,109 | * | ||||||
All
Named Executive Officers and Directors as a group (4
persons)
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18,707,883 | (4) | 68.2 | % |
(1)
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The
business address of each person listed is c/o Apollo Medical Holdings,
Inc., 450 North Brand Boulevard, Suite 600, Glendale, California
91203.
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(2)
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For
purposes of this table, shares are considered beneficially owned if the
person directly or indirectly has the sole or shared power to vote or
direct the voting of the securities or the sole or shared power to dispose
of or direct the disposition of the securities. Shares are also considered
beneficially owned if a person has the right to acquire beneficial
ownership of the shares within 60 days of April 30,
2010.
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(3)
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The
percentages are calculated based on the actual number of shares issued and
outstanding as of April 30, 2010, which is 27,424,661, plus the
amounts reported for Mr. Nihalani, as further described in Note 4
below.
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(4)
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Mr.
Nihalani has been issued 188,887 shares as of April 30, 2010 and is
entitled to an additional 22,222 shares for the sixty-day period
subsequent to April 30, 2010, bringing his beneficial share total to
211,109.
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Non-Qualified
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Name and |
Non-Equity
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Deferred
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Principal
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Stock
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Option
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Incentive Plan
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Compensation
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All Other
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Position
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Year
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Salary
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Bonus
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Awards
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Awards
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Compensation
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Earnings
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Compensation
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Total
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Warren
Hosseinion,
M. D.
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2010
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$
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353,285
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0
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0
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0
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0
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0
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0
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$
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353,285
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Chief
Executive
Officer(1)
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2009
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$
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239,830
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0
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0
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0
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0
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0
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0
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$
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239,830
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2008
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$
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0
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0
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0
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0
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0
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0
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0
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$
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0
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Adrian
Vazquez, M.D.
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2010
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$
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361,097
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0
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0
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0
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0
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0
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0
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$
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361,097
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President
and Chairman(1)
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2009
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$
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256,720
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0
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0
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0
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0
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0
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0
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$
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256,720
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2008
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$
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0
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0
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0
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0
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0
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0
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0
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A.
Noel DeWinter
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2010
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$
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85,000
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0
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0
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0
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0
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0
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0
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$
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85,000
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Chief
Financial Officer (2)
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2009
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$
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33,500
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0
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67,500
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0
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0
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0
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0
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$
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101,000
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2008
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$
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0 | 0 | 0 | 0 | 0 | 0 | 0 |
(1)
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The
reported compensation for Dr. Hosseinion and Dr. Vazquez is
entirely generated from patient care
activities.
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(2)
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Mr.
DeWinter joined the Company on August 1,
2008.
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(3)
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The
amount shown in this column reflects the aggregate grant date fair value
computed in accordance with FASB ASC Topic 718 for the year of
grant. The amounts reported for 2009 were restated on the same
basis.
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Name
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Fees
Earned
or Paid
in Cash
($)
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Stock
Awards
($)(1)
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Option
Awards
($)
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Non-Equity
Incentive Plan
Compensation
($)
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Nonqualified
Deferred
Compensation
Earnings
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All Other
Compensation
($)
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Total
($)
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Suresh
Nihalani
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$ | 2,000 | $ | 10,770 | 0 | 0 | 0 | 0 | $ | 12,770 |
(1)
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The amount shown in this column
reflects the aggregate grant date fair value computed in accordance with
FASB ASC Topic 718 for the year of
grant.
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By
Order of the Board of Directors
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By:
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/s/ WARREN HOSSEINION
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Warren
Hosseinion
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Chief
Executive Officer
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1.
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PURPOSES OF THE
PLAN
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2.
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TYPES OF AWARDS;
ELIGIBLE PERSONS
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3.
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STOCK SUBJECT TO THE
PLAN; MAXIMUM NUMBER OF
GRANTS
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4.
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ADMINISTRATION
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5.
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GRANTING OF OPTIONS
AND SARS; AGREEMENTS
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6.
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TERMS AND CONDITIONS
OF OPTIONS AND SARS
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7.
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RESTRICTED
STOCK
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8.
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EMPLOYMENT OR
CONSULTING RELATIONSHIP
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9.
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CONDITIONS UPON
ISSUANCE OF SHARES
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10.
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NON-EXCLUSIVITY OF THE
PLAN
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11.
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MARKET
STAND-OFF
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12.
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AMENDMENTS TO
PLAN
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13.
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COMPLIANCE WITH
CALIFORNIA CODE OF
REGULATIONS.
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14.
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EFFECTIVE DATE OF
PLAN; DISCONTINUANCE OR TERMINATION OF
PLAN
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