Filing Details
- Accession Number:
- 0001209191-10-030794
- 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 15:25:45
- 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 |
|---|---|---|---|---|---|---|---|
| 1492117 | T. John Staton | C/O Accretive Health, Inc. 401 North Michigan Avenue, Suite 2700 Chicago IL 60611 | Cfo And Treasurer | No | 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 | 2010-05-25 | 78,434 | $0.00 | 156,834 | No | 4 | C | Indirect | By John T. Staton Declaration of Trust |
| Common Stock | Disposition | 2010-05-25 | 74,659 | $11.28 | 82,175 | No | 4 | S | Indirect | By John T. Staton Declaration of Trust |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | C | Indirect | By John T. Staton Declaration of Trust |
| No | 4 | S | Indirect | By John T. Staton Declaration of Trust |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Series D Convertible Preferred Stock | Disposition | 2010-05-25 | 20,009 | $0.00 | 78,434 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 0 | No | 4 | C | Indirect |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock | 313,600 | Indirect | By John T. Staton 2009 Grantor Retained Annuity Trust |
Footnotes
- The shares are held in a trust, the beneficiaries of which are members of Mr. Staton's immediate family. Mr. Staton is the trustee of the trust.
- 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.
Billionaire Hedge Funds
