Filing Details

Accession Number:
0001209191-10-004689
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-01-25 12:00:00
Reporting Period:
2010-01-21
Filing Date:
2010-01-25
Accepted Time:
2010-01-25 17:14:05
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 593 Atlanta Street
Roswell GA 30075
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 2010-01-22 5,000 $4.00 304,141 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant Acquisiton 2010-01-21 700 $2.23 700 $2.50
Common Stock Warrant Acquisiton 2010-01-22 4,500 $2.20 4,500 $2.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
439,900 2010-12-07 No 4 P Direct
444,400 2010-12-07 No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 16,500 Indirect As UGMA custodian for daughter
Common Stock 78,561 Indirect By spouse
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Warrant $2.50 2010-12-07 113,900 113,900 Indirect
Common Stock Warrant $2.50 2010-12-07 85,392 85,392 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2010-12-07 113,900 113,900 Indirect
2010-12-07 85,392 85,392 Indirect
Footnotes
  1. The Warrants are currently exercisable.