-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DCexnBlR7StibFfjcbtn2ZbM6yUQwoxFrERnR3Avm+xdLtyJJ5hi0rJ32HVbeDlk 1s7zQvuBTi0cDS0HBixu9Q== 0001144204-05-038378.txt : 20051201 0001144204-05-038378.hdr.sgml : 20051201 20051201112847 ACCESSION NUMBER: 0001144204-05-038378 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051129 FILED AS OF DATE: 20051201 DATE AS OF CHANGE: 20051201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHCARE ACQUISITION CORP CENTRAL INDEX KEY: 0001326190 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 202726770 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2116 FINANCIAL CENTER STREET 2: 666 WALNUT STREET CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 515-244-5746 MAIL ADDRESS: STREET 1: 2116 FINANCIAL CENTER STREET 2: 666 WALNUT STREET CITY: DES MOINES STATE: IA ZIP: 50309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHAFFER DERACE L CENTRAL INDEX KEY: 0001031735 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32587 FILM NUMBER: 051236573 BUSINESS ADDRESS: STREET 1: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 BUSINESS PHONE: 631-870-5100 MAIL ADDRESS: STREET 1: C/O ALLION HEALTHCARE, INC. STREET 2: 1660 WALT WHITMAN ROAD, SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 v030742_ex.xml X0202 4 2005-11-29 0 0001326190 HEALTHCARE ACQUISITION CORP HAQ 0001031735 SCHAFFER DERACE L HEALTHCARE ACQUISITION CORP. 2116 FINANCIAL CENTER, 666 WALNUT STREET DES MOINES IA 50309 1 1 0 0 Vice Chairman and CEO Common Stock 882000 D Warrants 6.00 2005-11-29 4 P 0 19440 1.01 A 2009-07-27 Common Stock 19440 19440 D Warrants 6.00 2005-11-30 4 P 0 20000 A 2009-07-27 Common Stock 20000 39440 D Purchase made on behalf of Dr. Schaffer pursuant to the guidelines set forth in SEC Rule 10b5-1 in connection with a Rule 10b5-1 Sales Plan. The Warrants will become exercisable on the later of the completion of a business combination with a target business and July 28, 2006. Warrants were purchased at prices of $1.00 and $1.01, for an average of $1.008 per warrant purchased. /s/ Derace Schaffer, MD 2005-12-01 -----END PRIVACY-ENHANCED MESSAGE-----