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Filing Details

Accession Number:: 0001144204-13-006581
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-02-06 20:42:59
Reporting Period:: 2013-01-08

Filing Date:: 2013-02-06
Accepted Time:: 2013-02-06 20:42:59
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1142406	Carepayment Technologies Inc.	CPYT	Short-Term Business Credit Institutions (6153)	911758621

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1286568	Aequitas Commercial Finance, Llc	5300 Meadows Road Suite 400 Lake Oswego OR 97035	No	No	Yes	No
1360663	Aequitas Capital Management Inc.	5300 Meadows Road, Suite 400 Lake Oswego OR 97305	No	No	Yes	No
1394195	Aequitas Catalyst Fund Llc	5300 Meadows Road Suite 400 Lake Oswago OR 97035	No	No	Yes	No
1455890	Aequitas Management Llc	5300 Meadows Road, Suite 400 Lake Oswego OR 97035	No	No	Yes	No
1492061	Aequitas Carepayment Founders Fund, Llc	5300 Meadows Road Suite 400 Lake Oswego OR 97035	No	No	Yes	No
1501291	Aequitas Holdings, Llc	5300 Meadows Road, Suite 400 Lake Oswego OR 97305	No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Class A Common Stock	Acquisiton	2013-01-08	37,743	$1.00	10,002,245	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	94,358	$1.00	10,096,603	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	47,179	$1.00	10,143,782	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	1,887	$1.00	10,145,669	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	23,590	$1.00	10,169,259	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	944	$1.00	10,170,203	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	9,436	$1.00	10,179,639	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	94,358	$1.00	10,273,997	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	23,590	$1.00	10,297,587	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	23,590	$1.00	10,321,177	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	9,436	$1.00	10,330,613	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-30	9,436	$1.00	10,340,049	No	4	P	Indirect	By Aequitas Commercial Finance, LLC
Class A Common Stock	Acquisiton	2013-01-31	3,991,370	$0.00	14,331,419	No	4	C	Indirect	By Aequitas Commercial Finance, LLC

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	P	Indirect	By Aequitas Commercial Finance, LLC
No	4	C	Indirect	By Aequitas Commercial Finance, LLC

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-08	37,743	$10.99	37,743	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	94,358	$10.83	94,358	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	47,179	$11.00	47,179	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	1,887	$10.98	1,887	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	23,590	$10.95	23,590	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	944	$10.92	944	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	9,436	$10.91	9,436	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	94,358	$10.88	94,358	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	23,590	$10.88	23,590	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	23,590	$10.88	23,590	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	9,436	$10.88	9,436	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	9,436	$10.85	9,436	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Acquisiton	2013-01-30	23,590	$12.01	23,590	$0.00
Class A Common Stock	Series D Convertible Preferred Stock	Disposition	2013-01-31	399,137	$0.00	3,991,370	$0.00

Remaning Holdings	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
37,743	No	4	P	Indirect
132,101	No	4	P	Indirect
179,280	No	4	P	Indirect
181,167	No	4	P	Indirect
204,757	No	4	P	Indirect
205,701	No	4	P	Indirect
215,137	No	4	P	Indirect
309,495	No	4	P	Indirect
333,085	No	4	P	Indirect
356,675	No	4	P	Indirect
366,111	No	4	P	Indirect
375,547	No	4	P	Indirect
399,137	No	4	P	Indirect
0	No	4	C	Indirect

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Class A Common Stock	743,622	Indirect	By Aequitas CarePayment Founders Fund, LLC
Class A Common Stock	1,056	Indirect	By Aequitas Investment Management, LLC
Class A Common Stock	109,227	Indirect	By Aequitas Capital Management, Inc.
Class A Common Stock	462,603	Indirect	By Aequitas Catalyst Fund, LLC

Footnotes

The voting and investment decisions with respect to the reported securities of CarePayment Technologies, Inc. (the "Company") owned by Aequitas CarePayment Founders Fund, LLC ("Founders Fund"), Aequitas Catalyst Fund, LLC ("Catalyst Fund"), Aequitas Capital Management, Inc. ("Aequitas"), Aequitas Commercial Finance, LLC ("ACF"), Aequitas Holdings, LLC ("Aequitas Holdings") and Aequitas Investment Management, LLC ("AIM") are directly determined by each entity's, or its manager's, Public Securities Investment Committee ("PSIC"). (Continued in Footnote 2)
(Continued from Footnote 1) Each PSIC is composed of at least three members. Appointments to a PSIC must be approved by at least three members of Aequitas Management, LLC ("AML") holding, in the aggregate, at least 50% of AML's membership interests. Accordingly, AML may be deemed to be the indirect beneficial owner of the reported securities that are directly owned by Aequitas Holdings, Aequitas, ACF, Founders Fund, Catalyst Fund and AIM. The reporting persons disclaim beneficial ownership of the reported securities except to the extent of their respective pecuniary interests, if any, therein.
On January 31, 2013, the reporting persons converted shares of the Company's Series D Convertible Preferred Stock into shares of Class A Common Stock on a 10-for-1 basis.
The Series D Convertible Preferred Stock was convertible into shares of Class A Common Stock at any time at the option of the holder and had no expiration date. However, the Series D Convertible Preferred Stock was subject to mandatory redemption by the Company during January 2013 out of legally available funds. Shares of the Series D Convertible Preferred Stock were convertible on a 10-for-1 basis or such lower ratio as determined in accordance with the Company's Second Amended and Restated Certificate of Designation as of the date of conversion.