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