Statement of Changes in Beneficial Ownership (4)
April 01 2016 - 3:21PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Allen Michael D
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2. Issuer Name
and
Ticker or Trading Symbol
AIR METHODS CORP
[
AIRM
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President, Domestic AMS
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(Last)
(First)
(Middle)
7301 S. PEORIA STREET
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/30/2016
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(Street)
ENGLEWOOD, CO 80012
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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7/8/2015
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G
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690
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D
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$0
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29659
(1)
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D
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Common Stock
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12/7/2015
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G
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610
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D
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$0
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29049
(1)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (Right to Buy)
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$36.17
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3/30/2016
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A
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13845
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(2)
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3/30/2021
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Common Stock
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13845
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$0
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13845
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D
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Performance Share Unit
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(3)
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3/30/2016
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A
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7931
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(4)
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(4)
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Common Stock
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7931
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$0
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7931
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D
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Restricted Stock Unit
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(5)
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3/30/2016
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A
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3966
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(6)
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(6)
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Common Stock
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3966
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$0
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3966
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D
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Explanation of Responses:
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(
1)
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Includes 4,000 shares of restricted stock subject to future vesting provisions.
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(
2)
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This stock option vests one-third on each of March 30, 2017, March 30, 2018 and March 30, 2019.
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(
3)
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Represents a grant of performance share units under the issuer's 2015 Equity Incentive Plan. Each performance share unit represents the right to receive, at settlement, one share of the issuer's common stock.
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(
4)
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Subject to certain continued employment requirements, vesting of these performance share units depends on the issuer's relative total shareholder return from January 1, 2016 through and including December 31, 2018. The amount reported represents the "target" number. The maximum number of units that may vest is 15,863 (200% of the target number). Between 0% and 200% of the target number of performance share units may vest on December 31, 2018, with the vesting percentage determined based on actual performance.
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(
5)
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Represents a grant of restricted stock units under the issuer's 2015 Equity Incentive Plan. Each performance share unit represents the right to receive, at settlement, one share of the issuer's common stock.
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(
6)
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Subject to certain continued employment requirements, vesting of these restricted stock units depends on satisfying a minimum earnings per share metric for fiscal year 2016, and if such metric is satisfied, then the restricted stock units will vest one-third on each March 30, 2017, March 30, 2018 and March 30, 2019.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Allen Michael D
7301 S. PEORIA STREET
ENGLEWOOD, CO 80012
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President, Domestic AMS
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Signatures
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/s/ Trent J. Carman, Attorney-in-Fact for Michael D. Allen
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4/1/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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