0001181431-12-050092.txt : 20120912 0001181431-12-050092.hdr.sgml : 20120912 20120912162524 ACCESSION NUMBER: 0001181431-12-050092 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120705 FILED AS OF DATE: 20120912 DATE AS OF CHANGE: 20120912 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chan Ella Y. T. C. CENTRAL INDEX KEY: 0001557917 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21574 FILM NUMBER: 121088081 MAIL ADDRESS: STREET 1: 323 WOOD LOOP ST. CITY: HOUSTON STATE: TX ZIP: 77015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DYNACQ HEALTHCARE INC CENTRAL INDEX KEY: 0000890908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 760375477 STATE OF INCORPORATION: NV FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 4301 VISTA ROAD CITY: PASADENA STATE: TX ZIP: 77504 BUSINESS PHONE: 713-378-2000 MAIL ADDRESS: STREET 1: 4301 VISTA ROAD CITY: PASADENA STATE: TX ZIP: 77504 FORMER COMPANY: FORMER CONFORMED NAME: DYNACQ INTERNATIONAL INC DATE OF NAME CHANGE: 19960126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Estate of Chiu M. Chan CENTRAL INDEX KEY: 0001557926 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21574 FILM NUMBER: 121088080 BUSINESS ADDRESS: STREET 1: 323 WOOD LOOP ST. CITY: HOUSTON STATE: TX ZIP: 77015 BUSINESS PHONE: 713-582-0403 MAIL ADDRESS: STREET 1: 323 WOOD LOOP ST. CITY: HOUSTON STATE: TX ZIP: 77015 3 1 rrd355736.xml FORM 3 X0206 3 2012-07-05 0 0000890908 DYNACQ HEALTHCARE INC DYII 0001557917 Chan Ella Y. T. C. 323 WOOD LOOP ST. HOUSTON TX 77015 0 0 1 0 0001557926 Estate of Chiu M. Chan 323 WOOD LOOP ST. HOUSTON TX 77015 0 0 1 0 Common Stock 1646205 D Common Stock 6788115 D Options (right to buy) 2.75 2013-05-16 Common Stock 100000 D The Common Stock is owned by Ella Y. T. C. Chan. The Common Stock is owned by the Estate of Chiu M. Chan. Ella Y. T. C. Chan is the sole executrix of the estate with sole voting and dispositive power over the Common Stock held by the estate. Ms. Chan is the sole beneficiary of the shares of Common Stock owned by the estate. The Options are currently exercisable and are owned by the Estate of Chiu M. Chan. The Reporting Persons together with Eric K. Chan, Bert Chan, Philip S. Chan, Chan Chang Chin Ying and Edward K. Chiu may constitute a group under the meaning of Rule 13d-5 of the Securities Exchange Act of 1934, as amended. See Schedule 13D filed by the Reporting Persons on September 12, 2012. /s/ Ella Y.T.C. Chan 2012-09-12 /s/ Ella Y.T.C. Chan, as executrix of the Estate of Chiu M. Chan 2012-09-12