0001316645-14-000017.txt : 20140507
0001316645-14-000017.hdr.sgml : 20140507
20140507172440
ACCESSION NUMBER: 0001316645-14-000017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140505
FILED AS OF DATE: 20140507
DATE AS OF CHANGE: 20140507
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: 14822130
MAIL ADDRESS:
STREET 1: 1660 WALT WHITMAN ROAD
STREET 2: SUITE 105
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
wf-form4_139949786916247.xml
FORM 4
X0306
4
2014-05-05
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
2014-05-05
4
P
0
575000
2
A
2292665
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 shares of Common Stock were purchased directly from the Company in a private placement transaction.
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
2014-05-07