-----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, ChXoMDJ566ZbPzrnEc9UBWFTYo1+NCpeEv24XbojMANcjIPjA+ep6xpBkuy5msZZ ShU4KVJtOFGW9CfXf6ig1A== 0001193805-10-002270.txt : 20100819 0001193805-10-002270.hdr.sgml : 20100819 20100819104327 ACCESSION NUMBER: 0001193805-10-002270 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100815 FILED AS OF DATE: 20100819 DATE AS OF CHANGE: 20100819 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: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 972-308-6830 MAIL ADDRESS: STREET 1: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: TX ZIP: 75240 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: 101027092 MAIL ADDRESS: STREET 1: 1660 WALT WHITMAN ROAD STREET 2: SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 e607437_ex.xml X0303 4 2010-08-15 0 0001316645 American Caresource Holdings, Inc. ANCI 0000897464 PAPPAJOHN JOHN C/O AMERICAN CARESOURCE HOLDINGS, INC. 5429 LYNDON B JOHNSON FREEWAY DALLAS TX 75240 1 0 0 0 Common Stock 2010-08-15 4 X 0 320248 0.49 A 4987228 D Stock Purchase Warrant 0.49 2010-08-15 4 X 0 320248 0 D 2005-08-15 2010-08-15 Common Stock 320248 0 D On August 15, 2010, the Reporting Person exercised a warrant to purchase 320,248 shares of common stock of the issuer at an exercise price of $0.49 per share. /s/ John Pappajohn 2010-08-18 -----END PRIVACY-ENHANCED MESSAGE-----