Filing Details

Accession Number:
0001179110-13-011887
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-07-18 12:49:05
Reporting Period:
2013-06-21
Filing Date:
2013-07-18
Accepted Time:
2013-07-18 12:49:05
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1429896 Activecare Inc. ACAR Communications Equipment, Nec (3669) 870578125
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
938421 G David Derrick 1401 North 1075 West, Suite 240
Farmington UT 84025
Chief Executive Officer Yes Yes No 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 2013-06-21 35,876 $0.00 37,065 No 4 P Indirect Note 5
Common Stock Acquisiton 2013-07-15 60,395 $0.75 97,460 No 4 P Indirect Note 5
Common Stock Acquisiton 2013-07-15 674,579 $0.75 772,039 No 4 P Indirect Note 5
Common Stock Acquisiton 2013-07-15 969,742 $0.75 1,741,781 No 4 P Indirect Note 5
Common Stock Acquisiton 2013-07-15 2,980,000 $0.75 4,721,781 No 4 P Indirect Note 5
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Note 5
No 4 P Indirect Note 5
No 4 P Indirect Note 5
No 4 P Indirect Note 5
No 4 P Indirect Note 5
Footnotes
  1. The purchase price for the shares consisted of the conversion by Mr. Derrick of $45,295.88 in principal and interest on a convertible debenture issued by ActiveCare, Inc., in January 2013, into the shares at a conversion price of $0.75 per share.
  2. The purchase price for the shares consisted of the conversion by Mr. Derrick of $505,934.13 in principal and interest on a convertible debenture issued by ActiveCare, Inc., in December 2012, into the shares at a conversion price of $0.75 per share.
  3. The purchase price for the shares consisted of the conversion by ADP Management Corp., an entity owned and controlled, in part, by Mr. Derrick, of $727,306.22 in principal and interest on a convertible debenture issued by ActiveCare, Inc., in December 2012, into the shares at a conversion price of $0.75 per share.
  4. The shares were purchased pursuant to a stock purchase agreement between ADP Management Corp., an entity owned and controlled, in part, by Mr. Derrick, and ActiveCare, Inc., dated July 15, 2013. The purchase price consisted of $2,235,000 previously advanced to ActiveCare by ADP Management Corporation between April 30, 2013, and July 3, 2013.
  5. The Common Stock is owned by ADP Management Corporation, an entity owned and controlled, in part, by Mr. Derrick.
  6. On May 16, 2013, the Issuer implemented a reverse stock split of its common shares at a ratio of 10-to-1. Prior to the reverse split, ADP Management Corp. owned 11,887 shares of common stock. Following the reverse split, ADP Management Corp. owned 1,189 shares.
  7. Shares issued as payment of dividends on preferred stock.