0001316645-13-000027.txt : 20130604
0001316645-13-000027.hdr.sgml : 20130604
20130604060123
ACCESSION NUMBER: 0001316645-13-000027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130530
FILED AS OF DATE: 20130604
DATE AS OF CHANGE: 20130604
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: 13889652
MAIL ADDRESS:
STREET 1: 1660 WALT WHITMAN ROAD
STREET 2: SUITE 105
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
wf-form4_137034007171270.xml
FORM 4
X0306
4
2013-05-30
0
0001316645
American Caresource Holdings, Inc.
ANCI
0000897464
PAPPAJOHN JOHN
C/O AMERICAN CARESOURCE HOLDINGS, INC.
5429 LYNDON B JOHNSON FREEWAY, SUITE 850
DALLAS
TX
75240
1
0
0
0
Common Stock
2013-05-30
4
A
0
10000
0
A
1722865
D
This is a grant of restricted stock units. Total amount held includes 10,215 unvested restricted stock units, of which 10,000 vest monthly over 24 months. Amount also includes 5,000 shares owned by the reporting person's spouse and 5,000 shares owned by Thebes, Ltd (an entity solely owned by the reporting person's spouse). Mr. Pappajohn disclaims beneficial interest over such shares except to the extent of his pecuniary interest therein.
/s/ John Pappajohn
2013-06-03