SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Myers Keith G

(Last) (First) (Middle)
420 WEST PINHOOK ROAD
SUITE A

(Street)
LAFAYETTE LA 70503

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/08/2005
3. Issuer Name and Ticker or Trading Symbol
LHC Group, Inc [ LHCG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
5. If Amendment, Date of 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
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 152,919 D
Common Stock 970,416 I By wife.
Common Stock 3,370,002 I(1) See Footnote(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
KEEP Units (2) (2) Common Stock 21,000 (2) D
1. Name and Address of Reporting Person*
Myers Keith G

(Last) (First) (Middle)
420 WEST PINHOOK ROAD
SUITE A

(Street)
LAFAYETTE LA 70503

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
1. Name and Address of Reporting Person*
K&G Family LLC

(Last) (First) (Middle)
420 WEST PINHOOK ROAD
SUITE A

(Street)
LAFAYETTE LA 70503

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares of common stock are held directly by K&G Family, LLC, of which Keith G. Myers is a manager.
2. KEEP Units are awards granted under the issuer's Key Employee Equity Participation Plan, which represent the right to receive a cash or stock payment in the future, based on the future value of the issuer, subject to certain restrictions and to risk of forfeiture. The KEEP Units will convert to shares of the issuer's common stock on a 1-for-1 basis upon completion of the initial public offering of the issuer's common stock.
Remarks:
/s/ R. Barr Brown, Attorney-in-Fact 06/08/2005
R. Barr Brown, Attorney-in-Fact 06/08/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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