0000899243-16-026617.txt : 20160809
0000899243-16-026617.hdr.sgml : 20160809
20160809171543
ACCESSION NUMBER: 0000899243-16-026617
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160805
FILED AS OF DATE: 20160809
DATE AS OF CHANGE: 20160809
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Acadia Healthcare Company, Inc.
CENTRAL INDEX KEY: 0001520697
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6100 TOWER CIRCLE
STREET 2: SUITE 1000
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 615-861-6000
MAIL ADDRESS:
STREET 1: 6100 TOWER CIRCLE
STREET 2: SUITE 1000
CITY: FRANKLIN
STATE: TN
ZIP: 37067
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOLDBERG RANDALL P
CENTRAL INDEX KEY: 0001533818
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35331
FILM NUMBER: 161819194
MAIL ADDRESS:
STREET 1: 30 TALL PINE COURT
CITY: MEDFORD
STATE: NJ
ZIP: 08055
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-08-05
0
0001520697
Acadia Healthcare Company, Inc.
ACHC
0001533818
GOLDBERG RANDALL P
ACADIA HEALTHCARE COMPANY, INC.
6100 TOWER CIRCLE SUITE 1000
FRANKLIN
TN
37067
0
0
1
0
Common Stock
2016-08-05
4
M
0
814
15.96
A
11502
D
Common Stock
2016-08-05
4
M
0
1000
29.39
A
12502
D
Common Stock
2016-08-05
4
S
0
814
52.44
D
11688
D
Common Stock
2016-08-05
4
S
0
1000
52.436
D
10688
D
Common Stock
2016-08-05
4
S
0
504
52.3831
D
10184
D
Common Stock
2016-08-05
4
S
0
1308
52.3861
D
8876
D
Stock Option
15.96
2016-08-05
4
M
0
814
0.00
D
2013-03-19
2022-03-19
Common Stock
814
0
D
Stock Option
29.39
2016-08-05
4
M
0
1000
0.00
D
2014-03-29
2023-03-29
Common Stock
1000
1000
D
The options vest over a 4-year period in equal annual installments beginning March 19, 2013.
The options vest over a 4-year period in equal annual installments beginning March 29, 2014.
The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other
stockholders. As a result, he may be deemed to be a part of a "group" with such other stockholders. To the extent the reporting
person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group.
/s/ Christopher L. Howard as Attorney in Fact for Randall P. Goldberg
2016-08-09