0001577059-14-000002.txt : 20140918 0001577059-14-000002.hdr.sgml : 20140918 20140918164200 ACCESSION NUMBER: 0001577059-14-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131223 FILED AS OF DATE: 20140918 DATE AS OF CHANGE: 20140918 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: Fleming Ronald W CENTRAL INDEX KEY: 0001577059 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33135 FILM NUMBER: 141110369 MAIL ADDRESS: STREET 1: 1145 HEMBREE ROAD CITY: ROSWELL STATE: GA ZIP: 30076 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2013-12-23 0 0001004724 ADCARE HEALTH SYSTEMS, INC ADK 0001577059 Fleming Ronald W 1145 HEMBREE ROAD ROSWELL GA 30076 0 1 0 0 Chief Financial Officer Common Stock 2013-12-23 4 A 0 30000 0 A 59814 D Restricted stock granted under AdCare Health Systems,Inc.'s 2011 Stock Option Plan. The stock will vest as follows: 10,000 shares on 5/15/2014, 10,000 shares on 5/15/2015, and 10,000 shares on 5/15/2016. /s/Sheryl A. Wolf, Attorney-in-fact 2014-09-18