0000899243-19-015795.txt : 20190606 0000899243-19-015795.hdr.sgml : 20190606 20190606170419 ACCESSION NUMBER: 0000899243-19-015795 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190531 FILED AS OF DATE: 20190606 DATE AS OF CHANGE: 20190606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLOEPPEL DAVID C CENTRAL INDEX KEY: 0001209206 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36643 FILM NUMBER: 19883237 MAIL ADDRESS: STREET 1: C/O AMERICAN ADDICTION CENTERS, INC. STREET 2: 115 EAST PARK DRIVE, SECOND FLOOR CITY: BRENTWOOD STATE: TN ZIP: 37027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AAC Holdings, Inc. CENTRAL INDEX KEY: 0001606180 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 352496142 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 POWELL PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-732-1366 MAIL ADDRESS: STREET 1: 200 POWELL PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-05-31 1 0001606180 AAC Holdings, Inc. AAC 0001209206 KLOEPPEL DAVID C C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2019-05-31 4 D 0 45454 0.00 D 209034 D Common Stock 31500 I By Bluegrass Capital Trust Common Stock 25000 I By Sunshine Capital Trust The reported item represents shares that were forfeited back to the issuer pursuant to Rule 16b-3(e) upon the resignation of the director on May 31, 2019. /s/ Chris Chi, Attorney-in-Fact 2019-06-06