SEC Form 4 · accession 0001179110-15-012640
ACTIVECARE, INC. · ACAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey S Peterson
Officer — VP Finance · Director · 10% Owner
Period of report
Aug 6, 2015
Accepted (ET)
Aug 26, 2015 · 11:45 am 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 | Aug 6, 2015 | J | 138,889 | — | A | 378,148 | I | By Keystone Partners, LLC |
| Common StockF1 | Aug 6, 2015 | J | 138,889 | — | A | 295,139 | I | By RimRock Capital |
| Common Stock | holding | — | — | — | 6,632,288 | I | By Tyumen Holdings, LLC | |
| Common Stock | holding | — | — | — | 2,759,277 | I | By Bluestone Advisors, LLC | |
| Common Stock | holding | — | — | — | 2,862,966 | I | By Wynnman's Hill, LLC | |
| Common Stock | holding | — | — | — | 20,270 | I | By Banyan Investment Company, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares of common stock were transferred to the identified holder pursuant to a purchase agreement with ADP Management Corporation, an entity owned and controlled, in part, by David Derrick, which contained a contingent future obligation to transfer additional shares of common stock to the identified holder for no additional consideration.