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 |
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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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sheridan Edwin A. 211 N. UNION STREET, SUITE 220 ALEXANDRIA, VA 22314 |
 X |  |  | Member of 10% owner group |
By: Power of Attorney, James L. Brill, CFO For: Edwin A. Sheridan | 05/17/2012 | |
**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) | Par Value $.01 per share |
(2) | Of the aggregate number of shares reported, 291,874 shares are held in escrow in connection with the transactions contemplated by the Agreement of Merger, dated as of March 20, 2012, by and among On Assignment, Inc., a Delaware corporation, OA Acquisition Corp., a Virginia corporation and a wholly-owned subsidiary of On Assignment, Inc., Apex Systems, Inc., a Virginia corporation, and Jeffrey E. Veatch as representative of the shareholders of Apex Systems, Inc. |