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Ownership Summary Table
| Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
|---|---|---|---|---|---|---|
| PARK CITY CAPITAL OFFSHORE MASTER, LTD | 0 | 976,168 | 0 | 976,168 | 4.9% | |
| PARK CITY SPECIAL OPPORTUNITY FUND | 0 | 102,250 | 0 | 102,250 | Less than 1% | |
| PARK CITY CAPITAL | 0 | 1,078,418 | 0 | 1,078,418 | 5.4% | |
| PCC SOF GP | 0 | 102,250 | 0 | 102,250 | Less than 1% | |
| MICHAEL J. FOX | 1,078,418 | 134,274 | 1,078,418 | 6.1% |
Page 1 of 9 – SEC Filing
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
SCHEDULE 13D/A
(Rule 13d-101)
INFORMATION
TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(a)
AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(a)
Under the Securities Exchange Act of
1934
(Amendment No. 6)*
| ADCARE HEALTH SYSTEMS, INC. |
| (Name of Issuer) |
| Common Stock, no par value |
| (Title of Class of Securities)
|
| 000650W300 |
| (CUSIP Number)
|
| Michael J. Fox Park City Capital, LLC 200 Crescent Court, Suite 1575 Dallas, Texas 75201 (214) 855-0800
|
| With a Copy to:
Derek D. Bork Thompson Hine LLP 3900 Key Center 127 Public Square Cleveland, Ohio 44114 (216) 566-5500 (Name, Address and Telephone Number of Person |
| January 9, 2017 |
| (Date of Event Which Requires Filing of this Statement) |
If the filing person
has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing
this schedule because of §§ 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box □.
Note: Schedules
filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §
240.13d-7 for other parties to whom copies are to be sent.
_______________
* 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).
