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OMB Number: 3235-0287
Expires: January 31, 2005
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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(f) of the Investment Company Act of 1940
[_] Check box if no longer subject of Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
(Print or Type responses)
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1. Name and Address of Reporting Person*
Haas Robert B.
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(Last) (First) (Middle)
c/o Haas Wheat & Partners, 300 Crescent Court, Suite 1700
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(Street)
Dallas Texas 75201
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
AMN Healthcare Services, Inc. ("AHS")
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
5/2002
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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7. 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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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common Stock,
par value $0.01 per share 5/22/2002 S 4,073,123 D $31.00 8,213,573 I (1),(2)
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Common Stock 5/22/2002 S 3,122,236 D $31.00 6,296,077 I (1),(3)
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Common Stock 5/22/2002 S 1,125,672 D $31.00 2,269,949 I (1),(4)
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Common Stock 5/22/2002 S 439,717 D $31.00 886,701 I (1),(5)
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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).
POTENTIAL PERSONS WHO ARE TO 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.
(Over)
SEC 1474 (3/99)
FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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10.
9. Owner-
Number ship
of Form
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Explanation of Responses:
(1) The sole general partner of HWH Capital Partners, L.P. ("HWH Capital"), HWH
Nightingale Partners, L.P. ("HWH Nightingale"), HWP Nightingale Partners II,
L.P. ("HWP Nightingale") and HWP Capital Partners II, L.P. ("HWP Capital" and,
together with HWH Capital, HWH Nightingale and HWP Nightingale, the "Funds") is
either a limited liability company or a corporation, in each case controlled by
Mr. Haas. By virtue of his control over each such limited liability company and
corporation, Mr. Haas has indirect ownership of 17,666,300 shares. Mr. Haas's
pecuniary interest in these shares is limited to his percentage interest in the
Funds' interests in such shares.
(2) By HWH Capital
(3) By HWH Nightingale
(4) By HWP Nightingale
(5) By HWP Capital
/s/ Robert B. Haas June 10, 2002
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**Signature of Reporting Person Date
Name: Robert B. Haas
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
Potential persons who are to 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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