0001126328-13-000040.txt : 20130130
0001126328-13-000040.hdr.sgml : 20130130
20130130120120
ACCESSION NUMBER: 0001126328-13-000040
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20130130
DATE AS OF CHANGE: 20130130
SUBJECT COMPANY:
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
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-81245
FILM NUMBER: 13557742
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
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: PRINCIPAL FINANCIAL GROUP INC
CENTRAL INDEX KEY: 0001126328
STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321]
IRS NUMBER: 421520346
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0224
FILING VALUES:
FORM TYPE: SC 13G
BUSINESS ADDRESS:
STREET 1: 711 HIGH STREET
CITY: DES MOINES
STATE: IA
ZIP: 50392-0300
BUSINESS PHONE: 5152475111
MAIL ADDRESS:
STREET 1: 711 HIGH STREET
CITY: DES MOINES
STATE: IA
ZIP: 50392-0300
SC 13G
1
AmericanCareSource.txt
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 4)*
American CareSource Holdings, Inc.
(Name of Issuer)
Common Stock
(Title and Class of Securities)
02505A202
(CUSIP Number)
December 31, 2012
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
[X] Rule 13d-1(b)
[_] Rule 13d-1(c)
[_] Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
CUSIP No. 02505A202 Page 2
1 NAMES OF REPORTING PERSONS
Principal Life Insurance Company
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a)
(b)
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Iowa
NUMBER OF 5 SOLE VOTING POWER 0
SHARES
BENEFICIALLY 6 SHARED VOTING POWER 563,688
OWNED BY
EACH 7 SOLE DISPOSITIVE POWER 0
REPORTING
PERSON WITH 8 SHARED DISPOSITIVE POWER 563,688
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
563,688
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (See Instructions)
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
9.88
12 TYPE OF REPORTING PERSON (See Instructions)
IC
CUSIP No. 02505A202 Page 3
1 NAMES OF REPORTING PERSONS
Principal Financial Group, Inc.
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a)
(b)
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
NUMBER OF 5 SOLE VOTING POWER 0
SHARES
BENEFICIALLY 6 SHARED VOTING POWER 563,688
OWNED BY
EACH 7 SOLE DISPOSITIVE POWER 0
REPORTING
PERSON WITH 8 SHARED DISPOSITIVE POWER 563,688
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
563,688
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (See Instructions)
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
9.88
12 TYPE OF REPORTING PERSON (See Instructions)
HC
CUSIP No. 02505A202 Page 4
Item 1(a). Name of Issuer:
American CareSource Holdings, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
5429 Lyndon B. Johnson Freeway
Suite 700
Dallas, TX 75240
Item 2(a). Name of Person Filing:
By virtue of its ultimate ownership and control of Principal Life
Insurance Company, PLIC, Principal Financial Group, Inc., PFG, has the
ultimate voting and dispositive power with respect to the shares of
American CareSource Holdings Common Stock held by PLIC and may be deemed
indirect beneficial owners of all the shares of American CareSource
Holdings Common Stock owned by PLIC within the meaning of Rule 13d-3(a)
under the Securities Exchange Act of 1934, as amended, the Act.
Item 2(b). Address of Principal Business Office, or, if None, Residence:
Principal Life Insurance Company
711 High Street
Des Moines, IA 50392-0088
Principal Financial Group, Inc.
711 High Street
Des Moines, IA 50392-0088
Item 2(c). Citizenship:
Principal Life Insurance Company - State of Iowa
Principal Financial Group, Inc. - State of Delaware
Item 2(d). Title of Class of Securities:
Common Stock
Item 2(e). CUSIP Numbers:
02505A202
Item 3. If this statement is filed pursuant to section 240.13d-1(b) or 240.13d
2(b) or (c), check whether the person filing is a:
(c) [X] Insurance company as defined in section 3(a)(19) of the Act
(15 U.S.C. 78c)
(g) [X] A parent holding company or control person in accordance with
section 240.13d-1(b)(1)(ii)(G)
CUSIP No. 02505A202 Page 5
Item 4. Ownership:
(a) Amount Beneficially Owned
563,688 Shares Common Stock presently held by Principal Life Insurance
Company
563,688 Shares Common Stock presently held by Principal Financial Group,
Inc.
(b) Percent of Class
9.88 Principal Life Insurance Company
9.88 Principal Financial Group, Inc.
(c) Number of shares as to which the person has:
(i) Sole Power to Vote or Direct the Vote
0 Principal Life Insurance Company
0 Principal Financial Group, Inc.
(ii) Shared Power to Vote or Direct the Vote
563,688 Shares Common Stock presently held by Principal Life
Insurance Company
563,688 Shares Common Stock presently held by Principal Financial
Group, Inc.
(iii) Sole Power to Dispose or to Direct the Disposition of
0 Principal Life Insurance Company
0 Principal Financial Group, Inc.
(iv) Shared Power to Dispose or to Direct the Disposition of
563,688 Shares Common Stock presently held by Principal Life
Insurance Company
563,688 Shares Common Stock presently held by Principal Financial
Group, Inc.
Item 5. Ownership of Five Percent or Less of a Class:
[ ]
Item 6. Ownership of More than Five Percent on Behalf of Another Person
Not applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on By the Parent Holding Company
See exhibit attached
CUSIP No. 02505A202 Page 6
Item 8. Identification and Classification of Members of the Group
Not applicable
Item 9. Notice of Dissolution of Group
Not applicable
Item 10(a). Certification
By signing below I certify, to the best of my knowledge and belief, the
securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer
of the securities and were not acquired and are not held in connection with
or as a participant in any transaction having that purpose or effect.
Signature
After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.
Principal Life Insurance Company
By /s/ Joyce Hoffman
Joyce Hoffman, Senior Vice President and Corporate Secretary
Principal Financial Group, Inc.
By /s/ Joyce N. Hoffman
Joyce N. Hoffman, Senior Vice President and Corporate Secretary
Dated January 17, 2013
EXHIBIT 99.1
Principal Life Insurance Company
Item 3 Classification:
(c) [X] Insurance company as defined in section 3(a)(19) of the Act
(15 U.S.C. 78c)
Principal Financial Group, Inc.
Item 3 Classification:
(g) A parent holding company or control person in accordance with
section 240.13d-1(b)(1)(ii)(G)