SEC Form 4 · accession 0001096906-16-001881
ACTIVECARE, INC. · ACAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Aug 23, 2016
Accepted (ET)
Aug 25, 2016 · 4:45 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001429896
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Aug 23, 2016 | A | 61,162 | — | A | 20,916,889 | I | 0 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares of common stock were granted to pay dividends on shares of Series D Preferred Stock which were originally issued as compensation for services provided by Jeff Peterson; however, at Mr. Peterson's request, the shares of Series D Preferred Stock were issued in the name of Tyumen Holdings, LLC.
- F212,924,333 By Tyumen Holdings, LLC; 6,319,708 By Bluestone Advisors, LLC; 979,291 By Wynnman's Hill, LLC; 378,148 By Keystone Partners, LLC; 295,139 By Rimrock Capital;20,270 By Banyan Investment Company, LLC