0001179110-16-017664.txt : 20160112 0001179110-16-017664.hdr.sgml : 20160112 20160112135856 ACCESSION NUMBER: 0001179110-16-017664 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150819 FILED AS OF DATE: 20160112 DATE AS OF CHANGE: 20160112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACTIVECARE, INC. CENTRAL INDEX KEY: 0001429896 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 870578125 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1365 WEST BUSINESS PARK DRIVE, SUITE 100 CITY: OREM STATE: UT ZIP: 84058 BUSINESS PHONE: 877-219-6050 MAIL ADDRESS: STREET 1: 1365 WEST BUSINESS PARK DRIVE, SUITE 100 CITY: OREM STATE: UT ZIP: 84058 FORMER COMPANY: FORMER CONFORMED NAME: Volu-Sol Reagents CORP DATE OF NAME CHANGE: 20080317 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADP MANAGEMENT CORP CENTRAL INDEX KEY: 0001120338 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53570 FILM NUMBER: 161338373 BUSINESS ADDRESS: STREET 1: 1401 N HIGHWAY 89 STREET 2: SUITE 240 CITY: FARMINGTON STATE: UT ZIP: 84025 BUSINESS PHONE: 801-451-5742 MAIL ADDRESS: STREET 1: 1401 N HIGHWAY 89 STREET 2: SUITE 240 CITY: FARMINGTON STATE: UT ZIP: 84025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DERRICK DAVID G CENTRAL INDEX KEY: 0000938421 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53570 FILM NUMBER: 161338374 MAIL ADDRESS: STREET 1: 1401 NORTH HIGHWAY 89, SUITE 240 CITY: FARMINGTON STATE: UT ZIP: 84025 4 1 edgar.xml FORM 4 - X0306 4 2015-08-19 1 0001429896 ACTIVECARE, INC. ACAR 0000938421 DERRICK DAVID G 1401 NORTH 1075 WEST, SUITE 240 FARMINGTON UT 84025 0 0 1 0 0001120338 ADP MANAGEMENT CORP 1401 N. 1075 W., STE. 240 FARMINGTON UT 84025 0 0 1 0 Common Stock 2015-08-19 4 S 0 3455347 .123 D 5915100 I By ADP Management Corporation Common Stock 2015-09-23 4 P 0 61111 .27 A 5976211 I By ADP Management Corporation Common Stock 2015-09-23 4 P 0 250000 .179 A 254750 I By Purizer Corporation Common Stock 1212500 I By Schwartz Group, LLC Common Stock 37006 D The shares of common stock were transferred by foreclosure to a third party creditor in connection with the enforcement of an outstanding indebtedness of $423,500. ADP Management Corporation is owned and controlled, in part, by David Derrick. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. Purizer Corporation is owned and controlled, in part, by David Derrick. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. Schwartz Group, LLC is owned, in part, by ADP Management Corporation. The Reporting Persons disclaim beneficial ownership of these securities except to the extent of their respective pecuniary interests therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. The shares of common stock were granted to pay accrued compensation for services rendered by David Derrick to issuer; however, at Mr. Derrick's request, such shares were issued in the name of ADP Management Corporation. The shares of common stock were issued to pay accrued commissions for services rendered by Purizer Corporation to the issuer. David G. Derrick 2016-01-11 By: David G. Derrick, Secretary and Treasurer 2016-01-11