Filing Details
- Accession Number:
- 0001185185-19-001171
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2019-08-19 19:07:04
- Reporting Period:
- 2019-08-16
- Accepted Time:
- 2019-08-19 19:07:04
- 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 | 2618 San Miguel Drive, #477 Newport Beach CA 92660 | Ceo & 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 | 2019-08-16 | 200 | $4.80 | 1,962,200 | No | 4 | P | Direct | |
Common | Acquisiton | 2019-08-16 | 300 | $5.00 | 1,962,500 | No | 4 | P | Direct | |
Common | Acquisiton | 2019-08-19 | 251 | $5.21 | 1,962,751 | No | 4 | P | Direct | |
Common | Acquisiton | 2019-08-19 | 149 | $5.20 | 1,962,900 | No | 4 | P | Direct | |
Common | Acquisiton | 2019-08-19 | 100 | $5.00 | 1,963,000 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct | |
No | 4 | P | Direct | |
No | 4 | P | Direct | |
No | 4 | P | Direct | |
No | 4 | P | Direct |
Reported Derivative Holdings
Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|---|---|---|---|
Common Stock | Series A Preferred | $0.00 | 4,000 | 4,000 | Direct |
Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|
4,000 | 4,000 | Direct |
Footnotes
- The Reporting Person holds the shares through the Tom Kubota Revocable Trust of 2013 (the "Trust"). The Reporting Person is the sole Trustee of the Trust. As such, the Reporting Person may be deemed to have voting and/or investment power over the shares held by the Trust and therefore may be deemed to be the beneficial owner of those shares.
- The Series A Preferred Stock converts into Common Stock of the Issuer on a 1:1 basis at any time at the election of the Reporting Person and has no expiration date.