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Martin William K Jr 5

Accession 0001179110-12-007773

CIK 0001429896other

View on SEC.gov Company Profile

Filed

May 3, 8:00 PM ET

Accepted

May 4, 3:48 PM ET

Size

9.3 KB

Accession

0001179110-12-007773

Insider Transaction Report

Form 5

Period: 2011-09-30

ACTIVECARE, INC.ACAR

Martin William K Jr

Director

Transactions

Award
Common Stock
2011-06-22$0.50/sh+45,000$22,500→ 93,000 total
Gift
Warrants
2011-10-04+150,000→ 150,000 total
Exercise: $0.50From: 2011-10-04Exp: 2016-06-21→ Common Stock (150,000 underlying)

Holdings

Options
Exercise: $1.25From: 2009-06-23Exp: 2014-06-22→ Common Stock (77,000 underlying)
77,000
Common Stock
(indirect: Note 3.)
594,683

Footnotes (3)

[F1]On June 22, 2011, the Board of Directors of ActiveCare, Inc., granted 45,000 shares to the Reporting Person in lieu of payment of Board of Director Fees, at a value of $0.50 per share. The shares vested at the time of the grant.
[F2]On October 4, 2011, James Dalton gifted to the Reporting Person Warrants to purchase up to 150,000 shares of ActiveCare, Inc., common stock.
[F3]Shares owned of record by Zenith Holding Ltd., an entity controlled by Mr. Martin.

Documents

1 file

5
edgar.xmlPrimary
FORM 5 -

Issuer

ACTIVECARE, INC.

CIK 0001429896

Entity typeother

Related Parties

1

filerCIK 0001456111

Filing Metadata

Form type: 5
Filed: May 3, 8:00 PM ET
Accepted: May 4, 3:48 PM ET
Size: 9.3 KB

View on SEC.gov