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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 | |
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 | 11/15/2011 | |
**Signature of Reporting Person | Date | |
Kevin G. Levy, as Attorney-in-Fact for J. Taylor Crandall | 11/15/2011 | |
**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) | Shares received by FW Oak Hill Accretive Investors, L.P. (the "Accretive Partnership") in a pro rata distribution from Accretive Investors SBIC, L.P. to its partners for no consideration. |
(2) | The Accretive Partnership is the direct holder of the 1,454,985 shares received in the distribution described in footnote 1 above. FW Oak Hill Accretive Healthcare Investors, L.P. (the "Healthcare Partnership") is the direct owner of the remaining 11,076,964 shares. Group VI 31, LLC ("Group VI 31") is the sole general partner of both the Accretive Partnership and the Healthcare Partnership. J. Taylor Crandall ("Crandall") is the sole member and President of Group VI 31 and a limited partner of both the Accretive Partnership and the Healthcare Partnership. Crandall and Group VI 31 disclaim beneficial ownership of the securities held by the Accretive Partnership and by the Healthcare Partnership except to the extent of their pecuniary interest therein. |
(3) | These shares are held directly by Crandall. |