0001004724-14-000141.txt : 20141202
0001004724-14-000141.hdr.sgml : 20141202
20141202163325
ACCESSION NUMBER: 0001004724-14-000141
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141125
FILED AS OF DATE: 20141202
DATE AS OF CHANGE: 20141202
ISSUER:
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
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brogdon Christopher F
CENTRAL INDEX KEY: 0001431870
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33135
FILM NUMBER: 141260966
MAIL ADDRESS:
STREET 1: 2 BUCKHEAD PLAZA, 3050 PEACHTREE ROAD
STREET 2: SUITE 570
CITY: ATLANTA
STATE: GA
ZIP: 30305
4
1
wf-form4_141755599501678.xml
FORM 4
X0306
4
2014-11-25
0
0001004724
ADCARE HEALTH SYSTEMS, INC
ADK
0001431870
Brogdon Christopher F
2 BUCKHEAD PLAZA
3050 PEACHTREE ROAD, SUITE 570
ATLANTA
GA
30305
1
0
0
1
Greater than 5% owner
Common Stock
2014-11-25
4
S
0
5000
4.17
D
823568
I
By spouse
Common Stock
2014-11-25
4
S
0
5533
4.18
D
818035
I
By spouse
Common Stock
2014-11-25
4
S
0
30000
4.19
D
788035
I
By spouse
Common Stock
2014-11-25
4
S
0
3892
4.23
D
784143
I
By spouse
Common Stock
221296
D
Christopher F. Brogdon
2014-12-02