FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT 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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(Print or Type Responses)

1. Name and Address of Reporting Person * CLEVELAND RUSSELL   2. Issuer Name and Ticker or Trading Symbol ALLIANCE HEALTHCARD INC [ALHC] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below) (Last) (First) (Middle) 8080 N. CENTRAL EXPRESSWAY SUITE 210 LB,  3. Date of Earliest Transaction (Month/Day/Year) 09/24/2009 (Street) DALLAS, TX 75206 4. If Amendment, Date Original Filed(Month/Day/Year) 6. Individual or Joint/Group Filing(Check Applicable Line) ___ Form filed by One Reporting Person _X_ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 09/23/2009 09/28/2009 P   2,000 A $ 1,492.51 300,750 I (1) Shares are held in RENN Global Entrepreneurs Fund, Inc. Common Stock 09/23/2009 09/28/2009 P   1,790 A $ 1,387.94 302,539 I (1) Shares are held in RENN Global Entrepreneurs Fund, Inc. Common Stock 09/24/2009 09/29/2009 P   2,189 A $ 1,788.79 304,728 I (1) Shares are held in RENN Global Entrepreneurs Fund, Inc. Common Stock 09/23/2009 09/28/2009 P   2,000 A $ 1,492.51 549,561 I (1) Shares are held in Renaissance US Growth Investment Trust Plc. Common Stock 09/23/2009 09/28/2009 P   1,789 A $ 1,387.16 551,350 I (1) Shares are held in Renaissance US Growth Investment Trust Plc. Common Stock 09/24/2009 09/29/2009 P   2,189 A $ 1,786.79 553,539 I (1) Shares are held in Renaissance US Growth Investment Trust Plc. Common Stock 09/23/2009 09/28/2009 P   2,000 A $ 1,492.51 404,885 I (1) Shares are held in Premier RENN Entrepreneurial Fund Ltd. Common Stock 09/23/2009 09/28/2009 P   1,789 A $ 1,387.16 406,674 I (1) Shares are held in Premier RENN Entrepreneurial Fund Ltd. Common Stock 09/25/2009 09/29/2009 P   2,189 A $ 1,786.79 408,863 I (1) Shares are held in Premier RENN Entrepreneurial Fund Ltd.

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

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)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
CLEVELAND RUSSELL 8080 N. CENTRAL EXPRESSWAY SUITE 210 LB DALLAS, TX 75206	X
RENN Global Entrepreneurs Fund, Inc. 8080 N CENTRAL EXPRWY STE 210 LB59 DALLAS, TX 75206		X
RENAISSANCE US GROWTH INVESTMENT TRUST PLC 8080 N. CENTRAL EXPRESSWAY SUITE 210, LB-59 DALLAS, TX 75206		X
Premier RENN Entrepreneurial Fund Ltd 8080 N. CENTRAL EXPRESSWAY SUITE 210, LB-59 DALLAS, TX 75206		X

Signatures

/s/Russell Cleveland		09/25/2009
**Signature of Reporting Person		Date

Explanation of Responses:

*	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)	Russell Cleveland is President of RENN Capital Group, Inc., Investment Advisor to RENN Global Entrepreneurs Fund, Inc. , Global Special Opportunities Trust Plc, Renaissance US Growth Investment Trust Plc & Premier RENN Entrepreneurial Fund Ltd and therefore may be considered to be beneficial owner of such shares. Russell Cleveland disclaims such beneficial ownership.

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