0001193805-11-001810.txt : 20110920 0001193805-11-001810.hdr.sgml : 20110920 20110920165237 ACCESSION NUMBER: 0001193805-11-001810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110916 FILED AS OF DATE: 20110920 DATE AS OF CHANGE: 20110920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simpson William James Jr. CENTRAL INDEX KEY: 0001504211 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33094 FILM NUMBER: 111099857 MAIL ADDRESS: STREET 1: 3 CLIFF TRAIL CITY: FRISCO STATE: TX ZIP: 75034 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 972-308-6830 MAIL ADDRESS: STREET 1: 5429 LYNDON B. JOHNSON FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: TX ZIP: 75240 FORMER COMPANY: FORMER CONFORMED NAME: American Caresouce Holdings, Inc. DATE OF NAME CHANGE: 20050204 4 1 e608902_form4-simpson.xml X0304 4 2011-09-16 0 0001316645 American Caresource Holdings, Inc. ANCI 0001504211 Simpson William James Jr. C/O AMERICAN CARESOURCE HOLDINGS, INC. 5429 LYNDON B JOHNSON FREEWAY, SUITE 850 DALLAS TX 75240 1 1 0 0 President and COO Common Stock, par value $.01 per share 2011-09-16 4 P 0 4000 .72 A 9000 D /s/ William J. Simpson, Jr. 2011-09-20