Filing Details

 

SECURITIES AND EXCHANGE COMMISSION 

 

WASHINGTON, D.C. 20549 

 

 

SCHEDULE 13G

  

Information to be included in Statements filed

 

pursuant to Rule 13d-1(b), (c) AND (d)

  

 

activecare, inc. 

(Name of Issuer)

  

 

COMMON Stock, $0.00001 par value 

(Title of Class of Securities)

 

 

005057203 

(CUSIP Number)

 

 

September 19, 2016 

(Date of event which requires filing of this Statement)

  

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed: 

 

¨ Rule 13d-1(b)

 x Rule 13d-1(c)

 ¨ Rule 13d-1(d)

  

(Continued on following pages) 

 

 

1.	NAME OF REPORTING PERSON   Justin Keener   S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
2.	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
3.	SEC USE ONLY
4.	CITIZENSHIP OR PLACE OF ORGANIZATION:   United States

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH	5.	SOLE VOTING POWER   25,552 (see Item 4)
	6.	SHARED VOTING POWER   None.
	7.	SOLE DISPOSITIVE POWER   25,552 (see Item 4)
	8.	SHARED DISPOSITIVE POWER   None.

9.	AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON   25,552 (see Item 4)
10.	CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES   ¨
11.	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)   9.99%
12.	TYPE OF REPORTING PERSON:   OO

  

  

Item 1(a).	Name of Issuer.
	ActiveCare, Inc. (the “Issuer”)
Item 1(b).	Address of Issuer’s Principal Executive Offices.
	1365 West Business Park Drive  Orem, UT 84058
Item 2(a).	Names of Person Filing.
	Justin Keener (“KEENER”)
Item 2(b).	Address of Principal Business Office, or if none, Residence.
	3960 Howard Hughes Parkway  Las Vegas, NV 89169
Item 2(c).	Citizenship.
	United States
Item 2(d).	Title of Class of Securities.
	Common Stock, par value $0.00001 per share (the “Common Stock”)
Item 2(e).	CUSIP Number.
	005057203

  

 

Item 3.	If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check whether the person filing is a:
	Not applicable.
Item 4.	Ownership.

 

As of the date hereof, KEENER is the beneficial owner of 25,552 shares of Common Stock. Such shares of Common Stock are issuable upon exercise of certain warrants held by KEENER and upon the Issuer consummating a public offering.

 

Accordingly, for the purpose of this Statement:

 

(a)

Amount beneficially owned by KEENER:  25,552 shares of Common Stock of the Issuer.

 

(b)

Percent of Class: KEENER beneficially holds 9.99% of the Issuer’s issued and outstanding Common Stock (based on 115,112,802 shares of Common Stock issued and outstanding, as stated by the Issuer in its Annual Report for the period ended September 30, 2016, as filed on January 13, 2017 with the Securities and Exchange Commission, subsequently reduced to 230,225 shares issued and outstanding by a 1-for-500 reverse split of the Issuer's common stock effective on January 27, 2017, plus the 25,552 shares of Common Stock issuable to KEENER upon exercise of certain warrants issued to KEENER on September 19, 2016, November 3, 2016, December 28, 2016, January 3, 2017, and January 30, 2017 (the “Warrants”).  The Warrants are convertible into 60,000 shares of Common Stock, however, the aggregate number of shares of Common Stock into which the Warrants are exercisable and which KEENER has the right to acquire beneficial ownership, is limited to the number of shares of Common Stock that, together with all other shares of Common Stock beneficially owned by KEENER, including the shares of Common Stock subject to this Schedule 13G, does not exceed 9.99% of the total outstanding shares of Common Stock.  KEENER also holds a promissory note (the “Note”), which is convertible into shares of Common Stock upon an event of default, but such potential conversion right is subject to a beneficial ownership limitation of 9.99% of the total outstanding shares of Common Stock.  In addition, the Issuer is required to deliver to KEENER, within five days of the Issuer consummating a public offering, $300,000 of shares of Common Stock of the Issuer ("Origination Shares").  The number of Origination Shares issuable to KEENER upon consummating the public offering is currently 14,925 shares and the maximum number of Origination Shares issuable to KEENER is limited to the number of shares of Common Stock that, together with all other shares of Common Stock beneficially owned by KEENER, including the shares of Common Stock subject to this Schedule 13G, does not exceed 9.99% of the total outstanding shares of Common Stock.

 

 

(c)

Number of shares as to which KEENER has:

 

	(i)	Sole power to direct the vote: 25,552 shares of Common Stock of the Issuer.
	(ii)	Shared power to vote or to direct the vote: None.
	(iii)	Sole power to dispose or direct the disposition of the Common Stock: 25,552  shares of Common Stock of the Issuer.
	(iv)	Shared power to dispose or direct the disposition of the Common Stock: None.

  

Item 5.	Ownership of Five Percent or Less of a Class.
	Not applicable.
Item 6.	Ownership of More than Five Percent on Behalf of Another Person.
	Not applicable.
Item 7.	Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
	Not applicable.
Item 8.	Identification and Classification of Members of the Group.
	Not applicable.

 

 

Item 9.	Notice of Dissolution of Group.
	Not applicable.
Item 10.	Certification.
	By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction which could have that purpose or effect.

 

 

SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

	Date:  February 1, 2017
	JUSTIN KEENER
	By:	/s/Justin Keener
		Name: Justin Keener
		Title: