SEC Form 4 · accession 0001179110-15-007994
ACTIVECARE, INC. · ACAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Apr 15, 2015
Accepted (ET)
May 18, 2015 · 2:13 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 | Apr 15, 2015 | A | 36,004 | $0.281 | A | 9,357,579 | I | By ADP Management Corporation |
| Common StockF3 | holding | — | — | — | 4,750 | I | By Purizer Corporation | |
| Common StockF4 | holding | — | — | — | 1,212,500 | I | By Schwartz Group, LLC | |
| Common Stock | holding | — | — | — | 37,006 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares of common stock were granted to pay accrued compensation for services rendered by David Derrick to issuer; however, at Mr. Derrick's request, such shares were issued in the name of ADP Management Corporation.
- F2ADP Management Corporation is owned and controlled, in part, by David Derrick. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F3Purizer Corporation is owned and controlled, in part, by David Derrick. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F4Schwartz Group, LLC is owned, in part, by ADP Management Corporation. The Reporting Persons disclaim beneficial ownership of these securities except to the extent of their respective pecuniary interests therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F5As previously reported in its current report on Form 8-K filed with the Commission on April 23, 2015, Mr. Derrick resigned as an officer and director of issuer effective as of April 18, 2015.