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