0001171843-16-010566.txt : 20160608
0001171843-16-010566.hdr.sgml : 20160608
20160608120455
ACCESSION NUMBER: 0001171843-16-010566
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160607
FILED AS OF DATE: 20160608
DATE AS OF CHANGE: 20160608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American CareSource Holdings, Inc.
CENTRAL INDEX KEY: 0001316645
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 200428568
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 55 IVAN ALLEN JR. BLVD
STREET 2: SUITE 510
CITY: ATLANTA
STATE: GA
ZIP: 30308
BUSINESS PHONE: 972-308-6830
MAIL ADDRESS:
STREET 1: 55 IVAN ALLEN JR. BLVD
STREET 2: SUITE 510
CITY: ATLANTA
STATE: GA
ZIP: 30308
FORMER COMPANY:
FORMER CONFORMED NAME: American Caresource Holdings, Inc.
DATE OF NAME CHANGE: 20050615
FORMER COMPANY:
FORMER CONFORMED NAME: American Caresouce Holdings, Inc.
DATE OF NAME CHANGE: 20050204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PAPPAJOHN JOHN
CENTRAL INDEX KEY: 0000897464
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33094
FILM NUMBER: 161703031
MAIL ADDRESS:
STREET 1: 1660 WALT WHITMAN ROAD
STREET 2: SUITE 105
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
formfour.xml
OWNERSHIP DOCUMENT
X0306
4
2016-06-07
0
0001316645
American CareSource Holdings, Inc.
GNOW
0000897464
PAPPAJOHN JOHN
C/O AMERICAN CARESOURCE HOLDINGS, INC.
55 IVAN ALLEN JR. BLVD., SUITE 510
ATLANTA
GA
30308
1
0
1
0
Common Stock, par value $0.01 per share
2016-06-07
4
P
0
4500
0.20
A
6040220
D
Common Stock, par value $0.01 per share
16791
I
By Equity Dynamics, Inc.
Common Stock, par value $0.01 per share
5000
I
By Halkis, Ltd.
Common Stock, par value $0.01 per share
5000
I
By Spouse
Common Stock, par value $0.01 per share
5000
I
By Thebes, Ltd.
The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ John Pappajohn
2016-06-08