0001179110-12-007327.txt : 20120430
0001179110-12-007327.hdr.sgml : 20120430
20120430140114
ACCESSION NUMBER: 0001179110-12-007327
CONFORMED SUBMISSION TYPE: 5/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20100930
FILED AS OF DATE: 20120430
DATE AS OF CHANGE: 20120430
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carter James George
CENTRAL INDEX KEY: 0001455761
FILING VALUES:
FORM TYPE: 5/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53570
FILM NUMBER: 12793874
MAIL ADDRESS:
STREET 1: 5095 WEST 2100 SOUTH
CITY: WEST VALLEY CITY
STATE: UT
ZIP: 84120
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/A
1
edgar.xml
FORM 5/A -
X0305
5/A
2010-09-30
2010-11-12
0
0
1
0001429896
ACTIVECARE, INC.
ACAR
0001455761
Carter James George
5095 WEST 2100 SOUTH
WEST VALLEY CITY
UT
84120
1
0
0
0
Common Stock
2010-07-24
4
G
0
59583
0
A
59583
D
Common Stock
2010-07-24
4
P
0
75985
1.15
A
135568
D
Common Stock
2010-09-30
4
C
0
48000
1.25
A
183568
D
Options
1.25
2010-09-30
4
C
0
48000
0
D
2009-06-23
2014-06-22
Common Stock
48000
77000
D
This amendment is filed to amend the Form 5 filed November 12, 2010.
Mr. Carter received these shares as a gift on July 24, 2010.
Mr. Carter purchased these shares in a private transaction on July 24, 2010.
On September 30, 2010, Mr. Carter exercised warrants to purchase 48,000 shares at $1.25 per share.
/s/ James George Carter
2012-04-27