0001004724-15-000045.txt : 20150413 0001004724-15-000045.hdr.sgml : 20150413 20150413160942 ACCESSION NUMBER: 0001004724-15-000045 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150413 DATE AS OF CHANGE: 20150413 EFFECTIVENESS DATE: 20150413 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ADCARE HEALTH SYSTEMS, INC CENTRAL INDEX KEY: 0001004724 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 311332119 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-237845 FILM NUMBER: 15766875 BUSINESS ADDRESS: STREET 1: 1145 HEMBREE ROAD CITY: ROSWELL STATE: GA ZIP: 30076 BUSINESS PHONE: 404-781-2895 MAIL ADDRESS: STREET 1: 1145 HEMBREE ROAD CITY: ROSWELL STATE: GA ZIP: 30076 FORMER COMPANY: FORMER CONFORMED NAME: ADCARE HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19951208 D 1 primary_doc.xml X0707 D LIVE 0001004724 ADCARE HEALTH SYSTEMS, INC 1145 HEMBREE ROAD ROSWELL GA GEORGIA 30076 404-781-2895 GEORGIA ADCARE HEALTH SYSTEMS INC Corporation true William McBride, III 1145 Hembree Road Roswell GA GEORGIA 30076 Executive Officer Director Allan J. Rimland 1145 Hembree Road Roswell GA GEORGIA 30076 Executive Officer Christopher F. Brogdon 1145 Hembree Road Roswell GA GEORGIA 30076 Director Michael J. Fox 1145 Hembree Road Roswell GA GEORGIA 30076 Director Brent Morrison 1145 Hembree Road Roswell GA GEORGIA 30076 Director Philip S. Radcliffe 1145 Hembree Road Roswell GA GEORGIA 30076 Director David A. Tenwick 1145 Hembree Road Roswell GA GEORGIA 30076 Director Other Health Care Decline to Disclose 06b false 2015-03-31 false true true true true false 25000 Institutional Securities Corporation 20291 GVC Capital LLC 38923 3500 Oaklawn Avenue Suite 400 Dallas TX TEXAS 75219 AL ALABAMA CO COLORADO DE DELAWARE GA GEORGIA IL ILLINOIS LA LOUISIANA MD MARYLAND NY NEW YORK TX TEXAS false 8500000 1685000 6815000 Represents sale of convertible subordinated notes, convertible into shares of common stock at a conversion price per share of $4.25. false 11 150000 true 0 1000000 Proceeds of the offering will be used to repay our convertible notes due April 30, 2015. An affiliate of Michael J. Fox, a director of the Company, holds $1,000,000 in principal amount of such notes. false ADCARE HEALTH SYSTEMS, INC /s/ Allan J. Rimland Allan J. Rimland President & CFO 2015-04-13