Filing Details

Accession Number:
0001140377-10-000040
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-05-11 13:00:00
Reporting Period:
2010-05-07
Filing Date:
2010-05-11
Accepted Time:
2010-05-11 17:43:18
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1138476 Pacific Health Care Organization Inc PFHO Services-Misc Health & Allied Services, Nec (8090) 870285238
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1271519 Tom Kubota 1280 Bison Avenue, Suite B9-596
Newport Beach CA 92660
President Yes Yes 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 Acquisiton 2010-05-07 3,000 $0.25 37,078 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 432,626 Indirect Held by Nanko
Footnotes
  1. Mr. Kubota is the President of Nanko Investments, Inc. As such, Mr. Kubota may be deemed to have voting and/or investment power over the shares held by Nanko Investments and therefore may be deemed to be the beneficial owner of those shares.