Filing Details
- Accession Number:
- 0001209191-10-030795
- 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 15:26:07
- 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 |
---|---|---|---|---|---|---|---|
1232914 | A Mary Tolan | C/O Accretive Health, Inc. 401 North Michigan Avenue, Suite 2700 Chicago IL 60611 | Founder, President And Ceo | 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 Stock | Acquisiton | 2010-05-25 | 2,190,999 | $0.00 | 10,694,415 | No | 4 | C | Direct | |
Common Stock | Disposition | 2010-05-25 | 719,026 | $11.28 | 9,975,389 | No | 4 | S | Direct | |
Common Stock | Acquisiton | 2010-05-25 | 104,599 | $12.00 | 10,079,988 | No | 4 | J | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Direct | |
No | 4 | S | Direct | |
No | 4 | J | Direct |
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 | 1,096 | $0.00 | 1,316,851 | $0.00 |
Common Stock | Series D Convertible Preferred Stock | Disposition | 2010-05-25 | 222,997 | $0.00 | 874,148 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Direct | ||
0 | No | 4 | C | Direct |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 2,587,200 | Indirect | By Tolan Family Trust |
Common Stock | 646,800 | Indirect | By Tolan Gamma Trust |
Footnotes
- Reflects shares of Common Stock received in satisfaction of a liquidation preference payment required to be paid to the Reporting Person upon the closing of the Issuer's initial public offering.
- The shares are held in a trust, the beneficiaries of which are members of Ms. Tolan's immediate family. Members of Ms. Tolan's immediate family are trustees of the trust.
- 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.