Sec Form 4 Filing - Lam Thomas S. @ Apollo Medical Holdings, Inc. - 2022-03-03

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
Lam Thomas S.
2. Issuer Name and Ticker or Trading Symbol
Apollo Medical Holdings, Inc. [ AMEH]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President and Co-CEO
(Last) (First) (Middle)
1668 GARFIELD AVE., 2ND FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
03/03/2022
(Street)
ALHAMBRA, CA91801
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/03/2022 G V 200,000 D $ 0 799,855( 1 ) I By the Thomas and Jeanette Lam 2002 Family Trust
Common Stock 09/27/2022 G V 383,764 D $ 0 0( 2 ) I By grantor retained annuity trust
Common Stock 09/27/2022 G V 383,764 D $ 0 0( 3 ) I By wife
Common Stock 191,827 D
Common Stock 11,175,702( 4 ) I By Allied Physicians of California, A Professional Medical Corporation
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Lam Thomas S.
1668 GARFIELD AVE., 2ND FLOOR
ALHAMBRA, CA91801
X President and Co-CEO
Signatures
/s/ Thomas S. Lam 12/02/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These securities are held by The Thomas and Jeanette Lam 2002 Family Trust U/A dated 09/06/2002 (the Family Trust). The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
( 2 )On September 17, 2020, the Reporting Person contributed 564,691 shares of AMEH common stock to a grantor retained annuity trust (the TL GRAT) for the benefit of himself and his children. On September 27, 2021 45,836 shares were distributed from the TL GRAT to the Family Trust in satisfaction of an annuity obligation. On September 22, 2022, 135,090 shares were distributed from the TL GRAT to the Family Trust in satisfaction of an annuity obligation. Upon termination of the trust on September 27, 2022, the remaining 383,764 shares were transferred to the children of the Reporting Person. The 180,926 shares previously distributed to the Family Trust will continue to be reported as indirectly owned by the Reporting Person.
( 3 )On September 17, 2020, the spouse of the Reporting Person contributed 564, 691 shares of AMEH common stock to a grantor retained annuity trust (the JL GRAT) for the benefit of herself and her children. On September 27, 2021 45,836 shares were distributed from the JL GRAT to the Family Trust in satisfaction of an annuity obligation. On September 22, 2022, 135,090 shares were distributed from the JL GRAT to the Family Trust in satisfaction of an annuity obligation. Upon termination of the trust on September 27, 2022, the remaining 383,764 shares were transferred to the children of the Reporting Person. The 180,926 shares previously distributed to the Family Trust will continue to be reported as indirectly owned by the Reporting Person.
( 4 )These securities are beneficially owned by Allied Physicians of California, A Professional Medical Corporation, of which the Reporting Person is a director, officer and shareholder. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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