UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee stock option (right to buy) | Â (4) | 12/21/2016 | Common Stock | 12,000 | $ 30.57 | D | Â |
Employee stock option (right to buy) | Â (4) | 12/30/2017 | Common Stock | 24,000 | $ 31.65 | D | Â |
Employee stock option (right to buy) | Â (4) | 08/28/2018 | Common Stock | 16,000 | $ 35.32 | D | Â |
Employee stock option (right to buy) | Â (4) | 08/05/2019 | Common Stock | 16,000 | $ 20.26 | D | Â |
Employee stock option (right to buy) | Â (5) | 03/08/2021 | Common Stock | 20,000 | $ 11.41 | D | Â |
Employee stock option (right to buy) | Â (6) | 12/22/2021 | Common Stock | 20,000 | $ 14.23 | D | Â |
Employee stock option (right to buy) | Â (7) | 11/07/2022 | Common Stock | 25,000 | $ 10.48 | D | Â |
Employee stock option (right to buy) | Â (8) | 07/30/2023 | Common Stock | 28,000 | $ 10.93 | D | Â |
Employee stock option (right to buy) | Â (9) | 04/14/2024 | Common Stock | 32,891 | $ 14.4 | D | Â |
Employee stock option (right to buy) | Â (10) | 03/26/2025 | Common Stock | 18,524 | $ 14.95 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zhou Rong C/O AMPHASTAR PHARMACEUTICALS, INC. 11570 6TH STREET RANCHO CUCAMONGA, CA 91730 |
 |  |  EVP, Production |  |
/s/ Ken Stupak, by power of attorney | 06/17/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Includes 6,187 shares represented by deferred stock units, or DSUs, which vest in four equal annual installments beginning on March 26, 2016. |
(2) | The shares are held of record by the Zhou Family Trust for which the reporting person serves as a trustee. |
(3) | The shares are held of record by the reporting person's spouse. |
(4) | Shares subject to the option are fully vested and immediately exercisable. |
(5) | Shares subject to the option vest in five equal annual installments beginning on March 8, 2012. |
(6) | Shares subject to the option vest in four equal annual installments beginning on December 22, 2012. |
(7) | Shares subject to the option vest in four equal annual installments beginning on November 7, 2013. |
(8) | Shares subject to the option vest in four equal annual installments beginning on July 30, 2014. |
(9) | Shares subject to the option vest in four equal annual installments beginning on April 14, 2015. |
(10) | Shares subject to the option vest in four equal annual installments beginning on March 26, 2016. |
 Remarks: Exhibit 24 - Power of Attorney |