0001316645-13-000053.txt : 20130920
0001316645-13-000053.hdr.sgml : 20130920
20130920195117
ACCESSION NUMBER: 0001316645-13-000053
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130918
FILED AS OF DATE: 20130920
DATE AS OF CHANGE: 20130920
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: 131108888
MAIL ADDRESS:
STREET 1: 1660 WALT WHITMAN ROAD
STREET 2: SUITE 105
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
wf-form4_137972106615950.xml
FORM 4
X0306
4
2013-09-18
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, $0.01 par value per share
2013-09-18
4
P
0
100
1.73
A
1712965
D
Common Stock, $0.01 par value per share
2013-09-18
4
P
0
1300
1.70
A
1714265
D
Common Stock, $0.01 par value per share
2013-09-19
4
P
0
3400
1.82
A
1717665
D
Common Stock, $0.01 par value per share
5000
I
By Spouse
Common Stock, $0.01 par value per share
5000
I
By Thebes, Ltd
The price reported in Column 4 is a weighted average price. The Reporting Person undertakes to provide to American Caresource Holdings, Inc. (the "Issuer"), any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price
The Reporting Person disclaims beneficial interest over such shares except to the extent of his pecuniany interest.
Thebes, Ltd is an entity solely owned by the Reporting Person's spouse. The Reporting Person disclaims beneficial interest over such shares except to the extent of his pecuniany interest.
/s/ John Pappajohn
2013-09-20