0001316645-14-000066.txt : 20141211 0001316645-14-000066.hdr.sgml : 20141211 20141211152937 ACCESSION NUMBER: 0001316645-14-000066 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141211 DATE AS OF CHANGE: 20141211 EFFECTIVENESS DATE: 20141211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: American CareSource Holdings, Inc. CENTRAL INDEX KEY: 0001316645 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 200428568 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-229941 FILM NUMBER: 141280656 BUSINESS ADDRESS: STREET 1: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 850 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 972-308-6830 MAIL ADDRESS: STREET 1: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 850 CITY: DALLAS STATE: TX ZIP: 75240 FORMER COMPANY: FORMER CONFORMED NAME: American Caresource Holdings, Inc. DATE OF NAME CHANGE: 20050615 FORMER COMPANY: FORMER CONFORMED NAME: American Caresouce Holdings, Inc. DATE OF NAME CHANGE: 20050204 D 1 primary_doc.xml X0707 D LIVE 0001316645 American CareSource Holdings, Inc. 5429 LYNDON B. JOHNSON FREEWAY SUITE 850 DALLAS TX TEXAS 75240 972-308-6830 DELAWARE American Caresource Holdings, Inc. American Caresouce Holdings, Inc. Corporation true John Pappajohn 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Director Mark Oman 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Director Matthew P. Kinley 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Director Edward B. Berger 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Director Richard W. Turner 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Director Matthew D. Thompson 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer James A. Honn 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Laura L. Little 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer M. Cornelia Outten 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Adam S. Winger 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Dale Spencer 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Bennett L. Shelton 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Executive Officer Geoffrey E. Harris 5429 Lyndon B. Johnson Freeway Suite 850 Dallas TX TEXAS 75240 Director Other Health Care Decline to Disclose 06b false 2014-12-04 false true true false 0 2601600 2601600 0 Guarantors of the Issuer's indebtedness were issued warrants to purchase the Issuer's common stock at an exercise price of $2.71 per share, which vested immediately and are exercisable any time until December 4, 2019. false 3 0 0 0 false American CareSource Holdings, Inc. /s/ Adam S. Winger Adam S. Winger General Counsel and Vice President of Acquisitions 2014-12-11