Notification That Quarterly Report Will Be Submitted Late (nt 10-q)
August 16 2016 - 11:36AM
Edgar (US Regulatory)
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UNITED STATES
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SECURITIES AND EXCHANGE COMMISSION
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Washington, D.C. 20549
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FORM 12b-25
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SEC FILE NUMBER
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NOTIFICATION OF LATE FILING
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CUSIP NUMBER
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(Check one):
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☐
Form 10-K ☐Form
20-F ☐Form 11-K ☒Form
10-Q ☐Form 10-D ☐Form
N-SAR ☐Form N-CSR
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For Period Ended:
June 30, 2016
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☐
Transition Report on Form 10-K
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Transition Report on Form 20-F
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☐
Transition Report on Form 11-K
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☐
Transition Report on Form 10-Q
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☐
Transition Report on Form N-SAR
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For the Transition Period Ended: ___________________
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Read Instruction (on back page) Before Preparing Form. Please
Print or Type.
Nothing in this form shall be construed to imply that the Commission
has verified any information contained herein.
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If the notification relates to a portion of the filing checked above, identify the Item(s)
to which the notification relates: _________________________________
PART I — REGISTRANT INFORMATION
American CareSource Holdings, Inc.
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Full Name of Registrant
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Former Name if Applicable
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55 Ivan Allen Jr. Blvd., Suite 510
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Address of Principal Executive Office
(Street and Number)
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Atlanta, Georgia 30308
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City, State and Zip Code
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PART II — RULES 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense and the
registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate)
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(a)
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The reason described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense
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(b)
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The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, Form 11-K, Form N-SAR or Form N-CSR, or portion thereof, will be filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-Q or subject distribution report on Form 10-D, or portion thereof, will be filed on or before the fifth calendar day following the prescribed due date; and
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(c)
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The accountant's statement or other exhibit required by Rule 12b-25(c) has been attached if applicable.
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PART III — NARRATIVE
State below in reasonable detail why Forms 10-K, 20-F, 11-K, 10-Q, 10-D, N-SAR, N-CSR,
or the transition report or portion thereof, could not be filed within the prescribed time period.
The Registrant could not complete the filing of its Quarterly Report on Form 10-Q for the period ended June 30, 2016 due to
a delay in obtaining and compiling information required to be included in its Form 10-Q, which delay could not be eliminated
by the Registrant without unreasonable effort and expense. In accordance with Rule 12b-25 of the Securities Exchange Act of
1934, the Registrant will file its Form 10-Q no later than the fifth calendar day following the prescribed due date.
(Attach extra Sheets if Needed)
PART IV — OTHER INFORMATION
(1)
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Name and telephone number of person to contact in regard to this notification
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Robert Frye
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404
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465-1000
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(Name)
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(Area Code)
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(Telephone Number)
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(2)
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Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed ? If answer is no, identify report(s). Yes
x
No
¨
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(3)
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Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? Yes
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No
x
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If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made.
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American CareSource Holdings,
Inc.
(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned hereunto duly
authorized.
Date: August 16, 2016
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By:
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/s/
Robert Frye
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Robert Frye
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Interim Chief Financial Officer and Controller (Principal Financial Officer and Principal Accounting Officer)
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INSTRUCTION: The form may be signed by an executive officer of the registrant or by any
other duly authorized representative. The name and title of the person signing the form shall be typed or printed beneath the signature.
If the statement is signed on behalf of the registrant by an authorized representative (other than an executive officer), evidence
of the representative's authority to sign on behalf of the registrant shall be filed with the form.
ATTENTION
Intentional misstatements or omissions of fact constitute Federal
Criminal Violations (See 18 U.S.C. 1001).
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