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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FW Oak Hill Accretive Healthcare Investors, L.P. 201 MAIN STREET SUITE 3100 FORT WORTH, TX 76102 |
X | |||
GROUP VI 31 LLC 201 MAIN STREET SUITE 3100 FORT WORTH, TX 76102 |
X | |||
CRANDALL J TAYLOR 2775 SAND HILL ROAD SUITE 220 MENLO PARK, CA 94025 |
X |
Kevin G. Levy, Vice President of Group VI 31, LLC, general partner of FW Oak Hill Accretive Healthcare Investors, L.P. | 08/12/2011 | |
**Signature of Reporting Person | Date | |
Kevin G. Levy, Vice President of Group VI 31, LLC | 08/12/2011 | |
**Signature of Reporting Person | Date | |
Kevin G. Levy, as Attorney-in-Fact for J. Taylor Crandall | 08/12/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Distribution of shares to partners for no consideration. |
(2) | FW Oak Hill Accretive Healthcare Investors, L.P. (the "Oak Hill Partnership") is the direct holder of these shares. Group VI 31, LLC ("Group VI 31") is the sole general partner of the Oak Hill Partnership. J. Taylor Crandall ("Crandall") is the sole member and President of Group VI 31 and a limited partner of the Oak Hill Partnership. Crandall and Group VI 31 disclaim beneficial ownership of the securities held by the Oak Hill Partnership except to the extent of their pecuniary interest therein. |
(3) | Receipt of shares in distribution from the Oak Hill Partnership for no consideration. These shares are now held directly by Crandall, for whom the distribution represented only a change in the form of his beneficial ownership. |