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