Amended Statement of Ownership (sc 13g/a)
February 07 2017 - 3:35PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(RULE 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2
(Amendment No. 2)
Adcare Health
Systems, Inc.
(Name of Issuer)
Common Stock
(Title of
Class of Securities)
00650W300
(CUSIP Number)
12/31/2016
(Date of
Event Which Requires Filing of this Statement)
Check the appropriate box to
designate the rule pursuant to which this Schedule is filed:
☒ Rule 13d-1(b)
☐ Rule 13d-1(c)
☐
Rule 13d-1(d)
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CUSIP No.
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Page 1 of 4 Pages
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1)
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Names of
Reporting Persons
IRS Identification No. Of Above Persons
Formidable Asset Management, LLC
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2)
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2) Check the Appropriate Box if a
Member of a Group (See Instructions)
a) ☐ b) ☐
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3)
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3) SEC USE ONLY
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4)
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4) Citizenship or Place of
Organization
USA
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
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5)
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Sole Voting Power
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6)
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Shared Voting Power
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7)
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Sole Dispositive Power
1,352,866
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8)
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Shared Dispositive Power
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9)
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Aggregate Amount Beneficially Owned by Each Reporting Person
1,352,866
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10)
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Check if the Aggregate Amount in Row
(9) Excludes Certain Shares
See Instructions ☐
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11)
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Percent of Class Represented by Amount
in Row (9)
6.78%
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12)
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Type of Reporting Person (See
Instructions)
IA
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CUSIP No.
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Page 2 of 4 Pages
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ITEM 1(a). -
NAME OF ISSUER:
Adcare Health Systems, Inc.
ITEM 1(b). - ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICES:
1145 Hembree Road
Roswell, GA 30076
ITEM 2(a). - NAME OF PERSON FILING:
Formidable Asset
Management, LLC
ITEM 2(b). - ADDRESS OF PRINCIPAL BUSINESS OFFICE:
211 East 4
th
Street, Suite 2850
Cincinnati, Ohio 45202
ITEM 2(c). - CITIZENSHIP:
USA
ITEM 2(d). - TITLE OF CLASS OF SECURITIES:
Common Stock
ITEM 2(e). - CUSIP NUMBER:
00650W300
ITEM 3. - IF THIS STATEMENT IS FILED PURSUANT TO
RULE 13d-1(b), OR 13d-2(b) or (c), CHECK WHETHER THE PERSON FILING IS A:
(a)
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☐ Broker or dealer registered under Section 15 of the Act;
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(b)
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☐ Bank as defined in Section 3(a)(6) of the Act;
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(c)
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☐ Insurance Company as defined in Section 3(a)(19) of the Act;
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(d)
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☐ Investment Company registered under Section 8 of the Investment Company Act of 1940;
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(e)
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☒ An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
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(f)
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☐ An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
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(g)
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☐ A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
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(h)
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☐ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
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(i)
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☐ A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;
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(j)
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☐ A non-U.S. institution in accordance with Rule 13d-1(b)(1)(ii)(J);
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(k)
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☐ Group, in accordance with Rule 13d-1(b)(1)(ii)(K).
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CUSIP No.
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Page 3 of 4 Pages
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ITEM 4. -
OWNERSHIP.
6.78%
ITEM 5. - OWNERSHIP OF FIVE PERCENT
OR LESS OF A CLASS.
Not applicable
ITEM 6. -
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Not applicable
ITEM 7. - IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.
Not applicable
ITEM 8. - IDENTIFICATION AND CLASSIFICATION
OF MEMBERS OF THE GROUP.
Not applicable
ITEM 9. -
NOTICE OF DISSOLUTION OF GROUP.
Not applicable
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CUSIP No.
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Page 4 of 4 Pages
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ITEM 10. -
CERTIFICATION.
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and
are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with
or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under Rule 14a-11.
SIGNATURE
After reasonable
inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Formidable
Asset Management, LLC
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By:
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/s/ Will Brown
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Will Brown
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Chief Executive Office and Managing Partner
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