Filing Details

Accession Number:
0001209191-10-055157
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-11-16 14:02:37
Reporting Period:
2010-11-12
Filing Date:
2010-11-16
Accepted Time:
2010-11-16 14:02:37
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1004724 Adcare Health Systems Inc ADK Services-Skilled Nursing Care Facilities (8051) 311332119
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
939524 B Connie Brogdon 2 Buckhead Plaza
3050 Peachtree Road, Suite 570
Atlanta GA 30305
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-11-12 2,000 $4.23 394,628 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 82,489 Indirect By spouse
Common Stock 17,325 Indirect As UGMA custodian for daughter
Footnotes
  1. Includes 18,437 shares of the Issuer's common stock issued to the Reporting Person on October 15, 2010 as a result of a 5% stock dividend declared by the Issuer on August 11, 2010, which stock dividend was payable to all holders of record of the Issuer's common stock on September 30, 2010.
  2. Includes 3,928 shares of the Issuer's common stock issued to the Reporting Person's spouse on October 15, 2010 as a result of a 5% stock dividend declared by the Issuer on August 11, 2010, which stock dividend was payable to all holders of record of the Issuer's common stock on September 30, 2010.
  3. Includes 825 shares of the Issuer's common stock issued to the Reporting Person, as UGMA custodian for her daughter, on October 15, 2010 as a result of a 5% stock dividend declared by the Issuer on August 11, 2010, which stock dividend was payable to all holders of record of the Issuer's common stock on September 30, 2010.