0000899243-16-016418.txt : 20160322
0000899243-16-016418.hdr.sgml : 20160322
20160322182046
ACCESSION NUMBER: 0000899243-16-016418
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160318
FILED AS OF DATE: 20160322
DATE AS OF CHANGE: 20160322
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PROVIDENCE SERVICE CORP
CENTRAL INDEX KEY: 0001220754
STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700]
IRS NUMBER: 860845127
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 44 EAST BROADWAY BLVD.
STREET 2: SUITE 350
CITY: TUSCON
STATE: AZ
ZIP: 85701
BUSINESS PHONE: 520-747-6600
MAIL ADDRESS:
STREET 1: 44 EAST BROADWAY BLVD.
STREET 2: SUITE 350
CITY: TUSCON
STATE: AZ
ZIP: 85701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gray Adam
CENTRAL INDEX KEY: 0001454123
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522008
MAIL ADDRESS:
STREET 1: 767 THIRD AVENUE
STREET 2: 35TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coliseum Capital Co-Invest, L.P.
CENTRAL INDEX KEY: 0001572285
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522009
BUSINESS ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE,7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902-6800
BUSINESS PHONE: 203-883-0100
MAIL ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE,7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902-6800
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COLISEUM CAPITAL PARTNERS, L.P.
CENTRAL INDEX KEY: 0001356974
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522010
BUSINESS ADDRESS:
STREET 1: METRO CENTER, 1 STATION PLACE
STREET 2: 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902
BUSINESS PHONE: 203-883-0100
MAIL ADDRESS:
STREET 1: METRO CENTER, 1 STATION PLACE
STREET 2: 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902
FORMER NAME:
FORMER CONFORMED NAME: COLISEUM CAPITAL PARTNERS L P
DATE OF NAME CHANGE: 20060322
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coliseum Capital, LLC
CENTRAL INDEX KEY: 0001409585
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522011
BUSINESS ADDRESS:
STREET 1: 825 THIRD AVENUE
STREET 2: 36TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-488-5555
MAIL ADDRESS:
STREET 1: 825 THIRD AVENUE
STREET 2: 36TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shackelton Christopher S
CENTRAL INDEX KEY: 0001430708
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522012
MAIL ADDRESS:
STREET 1: 767 THIRD AVENUE
STREET 2: 35TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coliseum Capital Partners II, L.P.
CENTRAL INDEX KEY: 0001567187
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522007
BUSINESS ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE, 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902-6800
BUSINESS PHONE: 203-883-0100
MAIL ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE, 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902-6800
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Coliseum Capital Management, LLC
CENTRAL INDEX KEY: 0001409751
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 161522013
BUSINESS ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE, 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902
BUSINESS PHONE: 203-883-0100
MAIL ADDRESS:
STREET 1: METRO CENTER
STREET 2: 1 STATION PLACE, 7TH FLOOR SOUTH
CITY: STAMFORD
STATE: CT
ZIP: 06902
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-03-18
0
0001220754
PROVIDENCE SERVICE CORP
PRSC
0001409751
Coliseum Capital Management, LLC
METRO CENTER
1 STATION PLACE, 7TH FLOOR SOUTH
STAMFORD
CT
06902
1
0
1
0
0001430708
Shackelton Christopher S
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
0001409585
Coliseum Capital, LLC
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
0001356974
COLISEUM CAPITAL PARTNERS, L.P.
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
0001567187
Coliseum Capital Partners II, L.P.
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
0001454123
Gray Adam
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
0001572285
Coliseum Capital Co-Invest, L.P.
METRO CENTER
1 STATION PLACE, 7TH FLOOR,
STAMFORD
CT
06902
1
0
1
0
Common Stock
2016-03-18
4
S
0
78044
52.42
D
2065838
I
See Footnotes
Common Stock
2016-03-21
4
S
0
39882
51.33
D
2025956
I
See Footnotes
Common Stock
2016-03-22
4
S
0
57596
50.61
D
1968360
I
See Footnotes
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.00 to $52.90, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
These securities are held directly by (a) Coliseum Capital Partners, L.P. ("CCP"), an investment limited partnership of which Coliseum Capital, LLC, a Delaware limited liability company ("CC"), is general partner and for which Coliseum Capital Management, LLC, a Delaware limited liability company ("CCM"), serves as investment adviser, (b) Coliseum Capital Partners II, L.P. ("CCP2"), an investment limited partnership of which CC is general partner and for which CCM serves as investment adviser, and (c) a separate account investment advisory client of CCM (the "Separate Account").
Christopher Shackelton ("Shackelton") and Adam Gray ("Gray") are managers of and have an ownership interest in each of CCM and CC and may be deemed to have an indirect pecuniary interest in the shares held by the CCP, CCP2 and the Separate Account due to CCM's right to receive performance-related fees from the Separate Account and CC's right to receive performance-related fees from CCP and CCP2. Each of Shackelton, Gray, CCP, CCP2, the Separate Account, CC, CCM and Coliseum Capital Co-Invest, L.P. ("CCC") disclaims beneficial ownership of these securities except to the extent of that person's pecuniary interest therein.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $51.00 to $52.41, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.50 to $51.11, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Following the transactions reported herein, CCP, CCP2 and the Separate Account directly owned 1,098,692, 297,513, 572,155 shares of common stock, respectively.
Shackelton is a director of the Issuer. As a result, the following persons may be deemed directors by deputization of the Issuer solely for purposes of Section 16 of the Securities Exchange Act of 1934, as amended: CCM; CC; CCP; CCP2; CCC; and Gray.
Coliseum Capital Management, LLC, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Christopher Shackelton, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Coliseum Capital, LLC, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Coliseum Capital Partners, L.P., By: Coliseum Capital, LLC, its General Partner, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Coliseum Capital Partners II, L.P., By: Coliseum Capital, LLC, its General Partner, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Adam Gray, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22
Coliseum Capital Co-Invest, L.P., By: Coliseum Capital, LLC, its General Partner, By: /s/ Chivonne Cassar, Attorney-in-fact, Chivonne Cassar, Attorney-in-fact
2016-03-22