0001193125-17-033152.txt : 20170207 0001193125-17-033152.hdr.sgml : 20170207 20170207153402 ACCESSION NUMBER: 0001193125-17-033152 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170207 DATE AS OF CHANGE: 20170207 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ADCARE HEALTH SYSTEMS, INC CENTRAL INDEX KEY: 0001004724 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 311332119 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-83967 FILM NUMBER: 17578807 BUSINESS ADDRESS: STREET 1: 454 SATELLITE BLVD STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 BUSINESS PHONE: 678-869-5116 MAIL ADDRESS: STREET 1: 454 SATELLITE BLVD STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 FORMER COMPANY: FORMER CONFORMED NAME: ADCARE HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19951208 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Formidable Asset Management, LLC CENTRAL INDEX KEY: 0001592613 IRS NUMBER: 462376509 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 221 E. 4TH STREET STREET 2: SUITE 2850 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 513-655-5566 MAIL ADDRESS: STREET 1: 221 E. 4TH STREET STREET 2: SUITE 2850 CITY: CINCINNATI STATE: OH ZIP: 45202 FORMER COMPANY: FORMER CONFORMED NAME: BBK Capital Partners, LLC DATE OF NAME CHANGE: 20131121 SC 13G/A 1 d334005dsc13ga.htm AMENDMENT NO. 2 TO SCHEDULE 13G Amendment No. 2 to Schedule 13G

 

 

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

SCHEDULE 13G

(RULE 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED

PURSUANT TO RULE 13d-2

(Amendment No. 2)

 

 

Adcare Health Systems, Inc.

(Name of Issuer)

Common Stock

(Title of Class of Securities)

00650W300

(CUSIP Number)

12/31/2016

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☒ Rule 13d-1(b)

☐ Rule 13d-1(c)

☐ Rule 13d-1(d)

 

 

 

CUSIP No.   Page 1 of 4 Pages

 

  1)    

Names of Reporting Persons

IRS Identification No. Of Above Persons

 

Formidable Asset Management, LLC

  2)    

2) Check the Appropriate Box if a Member of a Group (See Instructions)

a)  ☐        b)  ☐

 

  3)    

3) SEC USE ONLY

 

  4)    

4) Citizenship or Place of Organization

 

USA

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With

    5)    

Sole Voting Power

 

   6)   

Shared Voting Power

 

   7)   

Sole Dispositive Power

 

1,352,866

   8)   

Shared Dispositive Power

 

  9)    

Aggregate Amount Beneficially Owned by Each Reporting Person

 

1,352,866

10)    

Check if the Aggregate Amount in Row (9) Excludes Certain Shares

 

See Instructions ☐

11)    

Percent of Class Represented by Amount in Row (9)

 

6.78%

12)    

Type of Reporting Person (See Instructions)

 

IA

CUSIP No.   Page 2 of 4 Pages

 

ITEM 1(a). - NAME OF ISSUER:

Adcare Health Systems, Inc.

ITEM 1(b). - ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES:

1145 Hembree Road

Roswell, GA 30076

ITEM 2(a). - NAME OF PERSON FILING:

Formidable Asset Management, LLC

ITEM 2(b). - ADDRESS OF PRINCIPAL BUSINESS OFFICE:

211 East 4th Street, Suite 2850

Cincinnati, Ohio 45202

ITEM 2(c). - CITIZENSHIP:

USA

ITEM 2(d). - TITLE OF CLASS OF SECURITIES:

Common Stock

ITEM 2(e). - CUSIP NUMBER:

00650W300

ITEM 3. - IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b) or (c), CHECK WHETHER THE PERSON FILING IS A:

 

(a) ☐ Broker or dealer registered under Section 15 of the Act;
(b) ☐ Bank as defined in Section 3(a)(6) of the Act;
(c) ☐ Insurance Company as defined in Section 3(a)(19) of the Act;
(d) ☐ Investment Company registered under Section 8 of the Investment Company Act of 1940;
(e) ☒ An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
(f) ☐ An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
(g) ☐ A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
(h) ☐ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
(i) ☐ A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;
(j) ☐ A non-U.S. institution in accordance with Rule 13d-1(b)(1)(ii)(J);
(k) ☐ Group, in accordance with Rule 13d-1(b)(1)(ii)(K).

CUSIP No.   Page 3 of 4 Pages

 

ITEM 4. - OWNERSHIP.

6.78%

ITEM 5. - OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.

Not applicable

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.

Not applicable

ITEM 8. - IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.

Not applicable

ITEM 9. - NOTICE OF DISSOLUTION OF GROUP.

Not applicable

CUSIP No.   Page 4 of 4 Pages

 

ITEM 10. - CERTIFICATION.

By signing below I certify that, 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, other than activities solely in connection with a nomination under Rule 14a-11.

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.

Formidable Asset Management, LLC

 

By:  

/s/ Will Brown

  Will Brown
  Chief Executive Office and Managing Partner