Filing Details

Accession Number:
0001209191-10-045803
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-09-10 17:31:36
Reporting Period:
2010-09-09
Filing Date:
2010-09-10
Accepted Time:
2010-09-10 17:31:36
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1004724 Adcare Health Systems Inc ADK Services-Skilled Nursing Care Facilities (8051) 311332119
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
939524 B Connie Brogdon 2 Buckhead Plaza
3050 Peachtree Road, Suite 570
Atlanta GA 30305
No No 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 2010-09-09 800 $3.38 363,776 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant Acquisiton 2010-09-09 900 $1.40 900 $2.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
481,400 2014-12-07 No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 78,561 Indirect By spouse
Common Stock 16,500 Indirect As UGMA custodian for daughter
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Warrant $2.50 2014-12-07 113,900 113,900 Indirect
Common Stock Warrant $2.50 2014-12-07 85,392 85,392 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2014-12-07 113,900 113,900 Indirect
2014-12-07 85,392 85,392 Indirect
Footnotes
  1. The Warrants are currently exercisable.