0000897423-11-000158.txt : 20111216 0000897423-11-000158.hdr.sgml : 20111216 20111216204247 ACCESSION NUMBER: 0000897423-11-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111214 FILED AS OF DATE: 20111216 DATE AS OF CHANGE: 20111216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROUP VI 31 LLC CENTRAL INDEX KEY: 0001247520 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 111267836 BUSINESS ADDRESS: STREET 1: 201 MAIN ST STE 3100 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8173908400 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Accretive Health, Inc. CENTRAL INDEX KEY: 0001472595 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 020698101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 NORTH MICHIGAN AVENUE STREET 2: SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-324-7820 MAIL ADDRESS: STREET 1: 401 NORTH MICHIGAN AVENUE STREET 2: SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRANDALL J TAYLOR CENTRAL INDEX KEY: 0000911380 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 111267835 BUSINESS ADDRESS: STREET 1: 2775 SAND HILL RD STREET 2: SUITE 220 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6502340517 MAIL ADDRESS: STREET 1: 2775 SAND HILL RD STREET 2: SUITE 220 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FW Oak Hill Accretive Healthcare Investors, L.P. CENTRAL INDEX KEY: 0001492076 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34746 FILM NUMBER: 111267837 BUSINESS ADDRESS: STREET 1: 201 MAIN STREET STREET 2: SUITE 3100 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 817-390-8400 MAIL ADDRESS: STREET 1: 201 MAIN STREET STREET 2: SUITE 3100 CITY: FORT WORTH STATE: TX ZIP: 76102 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2011-12-14 1 0001472595 Accretive Health, Inc. AH 0001492076 FW Oak Hill Accretive Healthcare Investors, L.P. 201 MAIN STREET SUITE 3100 FORT WORTH TX 76102 0 0 1 0 0001247520 GROUP VI 31 LLC 201 MAIN STREET SUITE 3100 FORT WORTH TX 76102 0 0 1 0 0000911380 CRANDALL J TAYLOR 2775 SAND HILL ROAD SUITE 220 MENLO PARK CA 94025 0 0 1 0 Common Stock 2011-12-14 4 J 0 6715110 D 4361854 D Common Stock 2011-12-14 4 J 0 727493 D 440134 D Common Stock 95356 D Distribution of shares to partners for no consideration. FW Oak Hill Accretive Healthcare Investors, L.P. (the "Healthcare Partnership") is the direct holder of these shares. Group VI 31, LLC ("Group VI 31") is the sole general partner of the Healthcare Partnership. J. Taylor Crandall ("Crandall") is the sole member and President of Group VI 31 and a limited partner of the Healthcare Partnership. Crandall and Group VI 31 disclaim beneficial ownership of the securities held by the Healthcare Partnership except to the extent of their pecuniary interest therein. These shares are held directly by FW Oak Hill Accretive Investors, L.P. (the "Accretive Partnership"). Group VI 31 is the sole general partner of the Accretive Partnership. Group VI 31 and Crandall disclaim beneficial ownership of the securities held by the Accretive Partnership except to the extent of their pecuniary interest therein. These shares are held directly by Crandall. Kevin G. Levy, Vice President of Group VI 31, LLC, general partner of FW Oak Hill Accretive Healthcare Investors, L.P. 2011-12-16 Kevin G. Levy, Vice President of Group VI 31, LLC 2011-12-16 Kevin G. Levy, as Attorney-in-Fact for J. Taylor Crandall 2011-12-16