Filing Details

Accession Number:
0001209191-10-030791
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-05-27 13:00:00
Reporting Period:
2010-05-25
Filing Date:
2010-05-27
Accepted Time:
2010-05-27 15:24:36
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1472595 Accretive Health Inc. AH Services-Management Services (8741) 020698101
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1492118 N. Gregory Kazarian C/O Accretive Health, Inc.
401 North Michigan Avenue, Suite 2700
Chicago IL 60611
Senior Vice President No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-05-25 170,069 $0.00 170,069 No 4 C Indirect By Kazarian Family LLC
Common Stock Disposition 2010-05-25 54,851 $11.28 115,218 No 4 S Indirect By Kazarian Family LLC
Common Stock Disposition 2010-05-25 13,332 $11.28 67,482 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Kazarian Family LLC
No 4 S Indirect By Kazarian Family LLC
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2010-05-25 117 $0.00 140,264 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2010-05-25 7,603 $0.00 29,805 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 545,468 Indirect By Irrevocable 2009 Gregory N. Kazarian Trust
Common Stock 353,717 Indirect By Irrevocable 2009 Kazarian Children's Trust
Footnotes
  1. The shares are held by a limited liability company for the benefit of members of Mr. Kazarian's immediate family. Mr. Kazarian is the manager member of Kazarian Family LLC.
  2. The shares are held in a trust, the beneficiaries of which are members of Mr. Kazarian's immediate family. Members of Mr. Kazarian's immediate family are trustees of the trust.
  3. The shares are held in a trust, the beneficiaries of which are members of Mr. Kazarian's immediate family.
  4. The Series A Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1,201.5069 for one basis and had no expiration date.
  5. The Series D Convertible Preferred Stock automatically converted into the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 3.92 for one basis and had no expiration date.