SEC Form 4 · accession 0001179110-16-027050
ACTIVECARE, INC. · ACAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Apr 25, 2016
Accepted (ET)
Jun 29, 2016 · 11:36 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 | Apr 25, 2016 | A | 152,853 | — | A | 12,863,171 | I | By Tyumen Holdings, LLC |
| Common StockF2 | Apr 25, 2016 | P | 1,000,000 | $0.07 | A | 6,319,708 | I | By Bluestone Advisors, LLC |
| Common Stock | holding | — | — | — | 979,291 | I | By Wynnman's Hill, LLC | |
| Common Stock | holding | — | — | — | 378,148 | I | By Keystone Partners, LLC | |
| Common Stock | holding | — | — | — | 295,139 | I | By RimRock Capital | |
| 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 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.
- F2The shares of common stock were granted to pay origination fees for amounts loaned to issuer.