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*
Taylor Harold

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

(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)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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 320,259 D
Common Stock 490,511 I See Footnote(1)
Common Stock 490,511 I See Footnote(2)
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 (3) (3) Common Stock 6,750 (3) D
Explanation of Responses:
1. The shares of common stock are held by Silver State Partners, LLC, of which the reporting person is a manager.
2. The shares of common stock are held by Bayou State Partners, LLC, of which the reporting person is a manager.
3. 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
** 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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