SEC Form 5 · accession 0001611781-15-000001
American CareSource Holdings, Inc. · GNOW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam Sidney Winger
Officer — Gen. Counsel, VP Acquisitions
Period of report
Dec 31, 2014
Accepted (ET)
Feb 9, 2015 · 5:54 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001316645
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to BuyF1 | $2.88 | Nov 5, 2014 | A | 10,000 | A | — | Nov 5, 2024 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1The option vests over five years as follows: 20% of the option vests on the first anniversary of the grant date and the remainder vests in equal monthly installments over the 48 months immediately thereafter.