SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Chan Bert

(Last) (First) (Middle)
3836 OBERLIN ST.

(Street)
HOUSTON TX 77005

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/07/2012
3. Issuer Name and Ticker or Trading Symbol
DYNACQ HEALTHCARE INC [ DYII ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
member of 10% owner group
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 218,962 D (1)
Common Stock 719,643 D (2)
Common Stock 190,000 D (3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
Chan Bert

(Last) (First) (Middle)
3836 OBERLIN ST.

(Street)
HOUSTON TX 77005

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Ying Chan Chang Chin

(Last) (First) (Middle)
FLAT E 4/F, OSCAR COURT
232-242 FA YUEN ST.

(Street)
KOWLOON K3

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Chiu Edward K.

(Last) (First) (Middle)
11205 BELLAIRE STE. B-24

(Street)
HOUSTON TX 77072

(City) (State) (Zip)
Explanation of Responses:
1. The Common Stock is owned by Bert Chan.
2. The Common Stock is owned by Chan Chang Chin Ying.
3. The Common Stock is owned by Edward K. Chiu.
Remarks:
The Reporting Persons together with Eric K. Chan, Philip S. Chan, Ella Y. T. C. Chan and the Estate of Chiu M. Chan may constitute a group under the meaning of Rule 13d-5 of the Securities Exchange Act of 1934, as amended. See Schedule 13D filed by the Reporting Persons on September 12, 2012.
/s/ Bert Chan 09/12/2012
/s/ Chan Chang Chin Ying 09/12/2012
/s/ Edward K. Chiu 09/12/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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