-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, S5wnQaoHdBeb1DvVfECooTelnaNBYWzIPjYYFJ9YFcCzL45ttfeoRjXgTJbWToqz PdYKWcPKQ/wK8fihb8euSw== 0000915127-03-000109.txt : 20031112 0000915127-03-000109.hdr.sgml : 20031111 20031112091056 ACCESSION NUMBER: 0000915127-03-000109 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031110 FILED AS OF DATE: 20031112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PHC INC /MA/ CENTRAL INDEX KEY: 0000915127 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 042601571 STATE OF INCORPORATION: MA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 200 LAKE ST STE 102 CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 9785362777 MAIL ADDRESS: STREET 1: 200 LAKE ST STREET 2: STE 102 CITY: PEABODY STATE: MA ZIP: 01960 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORNELISON MICHAEL R CENTRAL INDEX KEY: 0001244499 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22916 FILM NUMBER: 03990827 BUSINESS ADDRESS: STREET 1: PHC INC STREET 2: 200 LAKE ST SUITE 102 CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 7343849518 MAIL ADDRESS: STREET 1: 7708 SOUTHMOOR CITY: MOROE STATE: MI ZIP: 48161 4 1 mc_form4ex.xml FORM 4 X0201 4 2003-11-10 0 0000915127 PHC INC /MA/ PIHC 0001244499 CORNELISON MICHAEL R PHC INC 200 LAKE ST SUITE 102 PEABODY MA 01960 0 1 0 0 Executive Vice President Class A Common Stock 2003-11-10 2003-11-10 4 D 0 0 0 D 81982 D Transfer of Stock per Court Settlement 2003-11-10 2003-11-10 4 D 0 35116 0 D 46866 D Total Options 0 2003-11-10 4 D 0 0 0 D 2003-11-10 2003-11-10 Stock Options Held 0 76000 D No conversion price Used dummy dates as these shares are accumulative and have different dates Not applicable Michael R. Cornelison 2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----