0001179110-12-007070.txt : 20120423
0001179110-12-007070.hdr.sgml : 20120423
20120423154123
ACCESSION NUMBER: 0001179110-12-007070
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110930
FILED AS OF DATE: 20120423
DATE AS OF CHANGE: 20120423
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DALTON JAMES
CENTRAL INDEX KEY: 0001120337
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53570
FILM NUMBER: 12773292
MAIL ADDRESS:
STREET 1: P O BOX 3621
CITY: PARK CITY
STATE: UT
ZIP: 84060
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACTIVECARE, INC.
CENTRAL INDEX KEY: 0001429896
STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669]
IRS NUMBER: 870578125
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 5095 WEST 2100 SOUTH
CITY: WEST VALLEY CITY
STATE: UT
ZIP: 84120
BUSINESS PHONE: 801-974-9474
MAIL ADDRESS:
STREET 1: 5095 WEST 2100 SOUTH
CITY: WEST VALLEY CITY
STATE: UT
ZIP: 84120
FORMER COMPANY:
FORMER CONFORMED NAME: Volu-Sol Reagents CORP
DATE OF NAME CHANGE: 20080317
5
1
edgar.xml
FORM 5 -
X0305
5
2011-09-30
0
0
1
0001429896
ACTIVECARE, INC.
ACAR
0001120337
DALTON JAMES
5095 W 2100 S
WEST VALLEY CITY
UT
84120
1
0
0
0
Common Stock
2011-02-04
4
G
0
200000
0
D
2009417
D
Common Stock
2011-02-07
4
S
0
200000
0.25
D
1809417
D
Common Stock
2011-03-07
4
X
0
600000
0.25
A
2409417
D
Common Stock
2011-03-07
4
S
0
600000
0.25
D
1809417
D
Common Stock
2011-03-09
4
S
0
30000
0.25
D
1779417
D
Common Stock
2011-04-07
4
X
0
700000
0.25
A
2479417
D
Common Stock
2011-04-07
4
S
0
700000
0.25
D
1779417
D
Common Stock
2011-04-19
4
G
0
225000
0
D
1554417
D
Common Stock
2011-05-18
4
X
0
540000
0.25
A
2094417
D
Common Stock
2011-05-18
4
S
0
540000
0.25
D
1554417
D
Common Stock
2011-06-07
4
S
0
500000
0.25
D
1054417
D
Common Stock
2011-06-07
4
S
0
100000
0.25
D
954417
D
Common Stock
2011-06-07
4
S
0
100000
0.25
D
854417
D
Common Stock
2011-06-22
4
A
0
4000000
0.46
A
4854417
D
Common Stock
2011-08-03
4
S
0
1000000
0.25
D
3854417
D
Warrant
0.25
2011-03-07
4
X
0
600000
0
D
2009-05-12
2014-05-11
Common Stock
600000
8222000
D
Warrant
0.25
2011-04-07
4
X
0
700000
0
D
2009-05-12
2014-05-11
Common Stock
700000
7522000
D
Warrants
0.25
2011-05-18
4
X
0
540000
0
D
2009-05-12
2014-05-11
Common Stock
540000
6982000
D
Warrants
0.50
2011-06-22
4
A
0
3000000
0
A
2011-06-22
2016-06-21
Common Stock
3000000
3000000
D
Warrant
0.25
2011-09-01
4
S
0
2680000
0.25
D
2009-05-12
2014-05-11
Common Stock
2680000
4302000
D
Warrants
0.25
2011-09-30
4
S
0
300000
0.25
D
2009-05-12
2014-05-11
Common Stock
300000
4002000
D
Options
0.40
2011-10-04
4
A
0
3600000
0
A
2011-10-04
2016-10-03
Common Stock
3600000
3600000
D
Warrants
0.50
2011-10-04
4
A
0
750000
0
D
2011-06-22
2016-06-21
Common Stock
750000
2250000
D
Private sale transaction negotiated by the Reporting Person.
On March 7, 2011, the Reporting Person exercised warrants to purchase 600,000 shares of common stock of ActiveCare, Inc., at an exercise price of $0.25 per share.
On April 7, 2011, the Reporting Person exercised warrants to purchase 700,000 shares of common stock of ActiveCare, Inc., at an exercise price of $0.25 per share.
On May 17, 2011, the Reporting Person exercised warrants to purchase 540,000 shares of common stock of ActiveCare, Inc., at an exercise price of $0.25 per share.
Fair market value on the date of acquisition.
On October 4, 2011, the Reporting Person gifted warrants to purchase an aggregate of 750,000 to five directors or officers of ActiveCare, Inc.
James Dalton
2012-04-20