-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, N9BsTrQQ40UcasArITXIOD1AK2L41Z500cz/oyMkPDsc77/4lVg1bOTKpwSuLtob CVwujemmTmVeFjUwE126nw== 0001398432-09-000086.txt : 20090219 0001398432-09-000086.hdr.sgml : 20090219 20090219171652 ACCESSION NUMBER: 0001398432-09-000086 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20090219 DATE AS OF CHANGE: 20090219 GROUP MEMBERS: MARCOS A. RODRIGUEZ GROUP MEMBERS: PALLADIUM EQUITY PARTNERS III, L.L.C. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENCE SERVICE CORP CENTRAL INDEX KEY: 0001220754 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SOCIAL SERVICES [8300] IRS NUMBER: 860845127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-79536 FILM NUMBER: 09622402 BUSINESS ADDRESS: STREET 1: 5524 E. FOURTH ST. CITY: TUSCON STATE: AZ ZIP: 85711 BUSINESS PHONE: 5207487108 MAIL ADDRESS: STREET 1: 5524 E. FOURTH ST. CITY: TUSCON STATE: AZ ZIP: 85711 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Palladium Equity Partners III L P CENTRAL INDEX KEY: 0001307923 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1270 AVE OF THE AMERICAS STREET 2: SUITE 2200 CITY: NEW YORK STATE: NY ZIP: 10020 BUSINESS PHONE: 212-218-5150 MAIL ADDRESS: STREET 1: 1270 AVE OF THE AMERICAS STREET 2: SUITE 2200 CITY: NEW YORK STATE: NY ZIP: 10020 SC 13G 1 i10416.htm SCHEDULE 13G Schedule 13G
 
 

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. ___ )*

The Providence Service Corporation

(Name of Issuer)

 

Common Stock, par value $0.001

(Title of Class of Securities)

 

743815102

(CUSIP Number)

 

February 9, 2009

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     o Rule 13d-1(b)

     þ Rule 13d-1(c)

     o Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).


(Continued on following pages)

(Page 1 of 10 Pages)

 
 


CUSIP No.

743815102

Schedule 13G

Page 2 of 10 Pages

 

1

NAMES OF REPORTING PERSONS


Palladium Equity Partners III, L.P.

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(SEE INSTRUCTIONS)


(a) [   ]

(b) [X]

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION


Delaware

NUMBER OF SHARES BENEFICIALLY OWNED BY
EACH REPORTING PERSON
WITH

5

SOLE VOTING POWER


717,254

6

SHARED VOTING POWER


0

7

SOLE DISPOSITIVE POWER


717,254

8

SHARED DISPOSITIVE POWER


0

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON


717,254

10

CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)


[   ]

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9


5.5%

12

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)


PN





CUSIP No.

743815102

Schedule 13G

Page 3 of 10 Pages

 

1

NAMES OF REPORTING PERSONS


Palladium Equity Partners III, L.L.C.

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(SEE INSTRUCTIONS)


(a) [   ]

(b) [X]

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION


Delaware

NUMBER OF SHARES BENEFICIALLY OWNED BY
EACH REPORTING PERSON
WITH

5

SOLE VOTING POWER


717,254

6

SHARED VOTING POWER


0

7

SOLE DISPOSITIVE POWER


717,254

8

SHARED DISPOSITIVE POWER


0

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON


717,254

10

CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)


[   ]

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9


5.5%

12

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)


OO





CUSIP No.

743815102

Schedule 13G

Page 4 of 10 Pages

 

1

NAMES OF REPORTING PERSONS


Marcos A. Rodriguez

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(SEE INSTRUCTIONS)


(a) [   ]

(b) [X]

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION


United States

NUMBER OF SHARES BENEFICIALLY OWNED BY
EACH REPORTING PERSON
WITH

5

SOLE VOTING POWER


717,254

6

SHARED VOTING POWER


0

7

SOLE DISPOSITIVE POWER


717,254

8

SHARED DISPOSITIVE POWER


0

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON


717,254

10

CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)


[   ]

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9


5.5%

12

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)


IN





CUSIP No.

743815102

Schedule 13G

Page 5 of 10 Pages



This Statement on Schedule 13G (this “Statement”) relates to shares of common stock, par value $0.001 per share, which can be obtained by the Reporting Persons (as defined below) upon the conversion of convertible notes (the “Shares”), of The Providence Service Corporation (the “Issuer”).


Item 1(a)

Name of Issuer

 

 

 

The Providence Service Corporation

 

 

Item 1(a)

Address of Issuer’s Principal Executive Offices

 

 

 

5524 East Fourth Street, Tucson, Arizona 85711

 

 

Item 2(a)

Name of Person Filing

 

 

This Statement is being filed on behalf of each of the following persons (collectively, the “Reporting Persons”):

 

 

i.

Palladium Equity Partners III, L.P. (“Palladium”)

 

 

ii.

Palladium Equity Partners III, L.L.C. (“Palladium General Partner”)

 

 

iii.

Marcos A. Rodriguez (“Mr. Rodriguez”)

 

 

Item 2(b)

Address of Principal Business Office, or, if none, Residence:

 

 

Each Reporting Person’s principal business address is Rockefeller Center, 1270 Avenue of the Americas, Suite 2200, New York, New York 10020.

 

 

Item 2(c)

Citizenship

 

 

i.

Palladium is a Delaware limited partnership.

 

 

ii.

Palladium General Partner is a Delaware limited liability company.

 

 

iii.

Marcos A. Rodriguez is a citizen of the United States.

 

 

Item 2(d)

Title of Class of Securities

 

 

 

Common Stock, par value $0.001 per share

 

 

Item 3

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c) check whether the person is filing a:

 

 

 

This Item 3 is not applicable.






CUSIP No.

743815102

Schedule 13G

Page 6 of 10 Pages



Item 4

Ownership

 

 

Item 4(a)

Amount Beneficially Owned

 

 

i.

Palladium is the record holder of the Shares and may be deemed to be the beneficial owner of 717,254 Shares.  This number consists of 717,254 Shares that can be obtained by Palladium upon the conversion of convertible notes into Shares.

 

 

ii.

Palladium General Partner is the general partner of Palladium and, therefore, may be deemed to be the beneficial owner of 717,254 Shares.  This number consists of 717,254 Shares that can be obtained by Palladium upon the conversion of convertible notes into Shares.

 

 

iii.

Mr. Rodriguez is the managing member of Palladium General Partner and, therefore, may be deemed the beneficial owner of 717,254 Shares. This number consists of 717,254 Shares that can be obtained by Palladium upon the conversion of convertible notes into Shares.

 

 

Item 4(b)

Percent of Class

 

 

The percentages set forth below are calculated based on information contained in the Issuer’s 10-Q filed on November 10, 2008, which disclosed that there were 12,321,736 Shares outstanding as of November 3, 2008.  All percentages of beneficial ownership presented herein are calculated after giving effect to the issuance of Shares upon the conversion of the convertible notes currently owned by the Reporting Persons into Shares.

 

 

i.

Palladium may be deemed to be the beneficial owner of approximately 5.5% of the total number of Shares outstanding, calculated in accordance with Rule 13d-3(d)(1)(i) under the Exchange Act.

 

 

ii.

Palladium General Partner may be deemed to be the beneficial owner of approximately 5.5% of the total number of Shares outstanding, calculated in accordance with Rule 13d-3(d)(1)(i) under the Exchange Act.

 

 

iii.

Mr. Rodriguez may be deemed to be the beneficial owner of approximately 5.5% of the total number of Shares outstanding, calculated in accordance with Rule 13d-3(d)(1)(i) under the Exchange Act.

 

 

Item 4(c)

Number of shares as to which the person has:

 

 

1.

Palladium

 

 

i.

Sole power to vote or to direct the vote: 717,254

ii.

Shared power to vote or to direct the vote: 0

iii.

Sole power to dispose or to direct the disposition of: 717,254

iv.

Shared power to dispose or to direct the disposition of: 0






CUSIP No.

743815102

Schedule 13G

Page 7 of 10 Pages



2.

Palladium General Partner

 

 

i.

Sole power to vote or to direct the vote: 717,254

ii.

Shared power to vote or to direct the vote: 0

iii.

Sole power to dispose or to direct the disposition of: 717,254

iv.

Shared power to dispose or to direct the disposition of: 0

 

 

3.

Mr. Rodriguez

 

 

i.

Sole power to vote or to direct the vote: 717,254

ii.

Shared power to vote or to direct the vote: 0

iii.

Sole power to dispose or to direct the disposition of: 717,254

iv.

Shared power to dispose or to direct the disposition of: 0

 

 

Item 5

Ownership of Five Percent or Less of a Class

 

 

Item 6

Ownership of More than Five Percent on Behalf of Another Person

 

 

This Statement relates to securities held for the account of Palladium.  Palladium General Partner is the general partner of Palladium and, in such capacity, may be deemed to beneficially own the securities held for the account of Palladium.  Mr. Rodriguez is the managing member of Palladium General Partner and, in such capacity, may be deemed to beneficially own the securities held for the account of Palladium.

 

 

Item 7

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company

 

 

 

This Item 7 is not applicable.

 

 

Item 8

Identification and Classification of Members of the Group

 

 

 

This Item 8 is not applicable.

 

 

Item 9

Notice of Dissolution of Group

 

 

 

This Item 9 is not applicable.

 

 

Item 10

Certification

 

 

 

By signing below each signatory certifies that, to the best of its knowledge and belief, the securities referred to above were not acquired and are not held for the purpose 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.





Page 8 of 10


SIGNATURES



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.


Date: February 19, 2009




 

PALLADIUM EQUITY PARTNERS III, L.P.

 

 

 

 

 

By:

Palladium Equity Partners III, L.L.C.,

 

 

 

Its General Partner

 

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 

 

 

Title:  Managing Member

 

 

 

 

 

 

 

 

 

 

PALLADIUM EQUITY PARTNERS III, L.L.C.

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 

 

 

Title:  Managing Member

 

 

 

 

 

 

 

 

 

 

MARCOS A. RODRIGUEZ

 

 

 

 

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 





Page 9 of 10


LIST OF EXHIBITS




Exhibit No.

Description

 

 

A

Joint Filing Agreement















EX-99.A 2 exh99_a.htm JOINT FILING AGREEMENT Exhibit A

Page 10 of 10


EXHIBIT A


Joint Filing Agreement


In accordance with Rule 13d-1(k) promulgated under the Securities Exchange Act, as amended, the undersigned hereby agree to the joint filing with all other Reporting Persons (as such term is defined in the Schedule 13G referred to below) on behalf of each of them of a statement of Schedule 13G (including amendments thereto) with respect to the common stock, par value US$0.001, of The Providence Service Corporation, and that this Agreement may be included as an Exhibit to such joint filing.  This Agreement may be executed in any number of counterparts all of which, taken together, shall constitute one and the same instrument.




 

PALLADIUM EQUITY PARTNERS III, L.P.

 

 

 

 

 

By:

Palladium Equity Partners III, L.L.C.,

 

 

 

Its General Partner

 

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 

 

 

Title:  Managing Member

 

 

 

 

 

 

 

 

 

 

PALLADIUM EQUITY PARTNERS III, L.L.C.

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 

 

 

Title:  Managing Member

 

 

 

 

 

 

 

 

 

 

MARCOS A. RODRIGUEZ

 

 

 

 

 

 

 

 

 

By:

/s/ Marcos A. Rodriguez

 

 

 

Name: Marcos A. Rodriguez

 




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