Filing Details
- Accession Number:
- 0001209191-10-030796
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-05-27 13:00:00
- Reporting Period:
- 2010-05-25
- Filing Date:
- 2010-05-27
- Accepted Time:
- 2010-05-27 15:27:39
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1472595 | Accretive Health Inc. | AH | Services-Management Services (8741) | 020698101 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1188406 | P George Shultz | C/O Accretive Health, Inc. 401 North Michigan Avenue, Suite 2700 Chicago IL 60611 | Yes | No | 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 | 2010-05-25 | 358,164 | $0.00 | 710,964 | No | 4 | C | Indirect | By The Shultz 1989 Family Trust |
Common Stock | Disposition | 2010-05-25 | 33,844 | $11.28 | 677,120 | No | 4 | S | Indirect | By The Shultz 1989 Family Trust |
Common Stock | Acquisiton | 2010-05-25 | 11,052 | $12.00 | 688,172 | No | 4 | J | Indirect | By The Shultz 1989 Family Trust |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Indirect | By The Shultz 1989 Family Trust |
No | 4 | S | Indirect | By The Shultz 1989 Family Trust |
No | 4 | J | Indirect | By The Shultz 1989 Family Trust |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Series A Convertible Preferred Stock | Disposition | 2010-05-25 | 263 | $0.00 | 315,828 | $0.00 |
Common Stock | Series D Convertible Preferred Stock | Disposition | 2010-05-25 | 10,800 | $0.00 | 42,336 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Indirect | ||
0 | No | 4 | C | Indirect |
Footnotes
- The shares are held in a trust, the beneficiaries of which are Mr. Shultz and his wife.
- Reflects shares of Common Stock received in satisfaction of a liquidation preference payment required to be paid to the The Shultz 1989 Family Trust upon the closing of the Issuer's initial public offering.
- The Series A Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1,201.5069 for one basis and had no expiration date.
- The Series D Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 3.92 for one basis and had no expiration date.