|5May 4, 3:48 PM ET

Martin William K Jr 5

5 · ACTIVECARE, INC. · Filed May 4, 2012

Insider Transaction Report

Form 5
Period: 2011-09-30
Transactions
  • Award

    Common Stock

    2011-06-22$0.50/sh+45,000$22,50093,000 total
  • Gift

    Warrants

    2011-10-04+150,000150,000 total
    Exercise: $0.50From: 2011-10-04Exp: 2016-06-21Common Stock (150,000 underlying)
Holdings
  • Options

    Exercise: $1.25From: 2009-06-23Exp: 2014-06-22Common 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 -