-----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, Ebhbhk5jvBBCpEAVcr/Yx0e4F7ZYhR7FHQrB2FWPBxgNn9hPDC+WHQpCkm9EVlOy KAw/nXhS20VYxDtduM0r/Q== 0000915127-04-000015.txt : 20040112 0000915127-04-000015.hdr.sgml : 20040112 20040112102321 ACCESSION NUMBER: 0000915127-04-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040109 FILED AS OF DATE: 20040112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANGERFIELD DAVID CENTRAL INDEX KEY: 0001248560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22916 FILM NUMBER: 04519670 BUSINESS ADDRESS: STREET 1: PIONEER BEHAVIORAL HEALTH STREET 2: 200 LAKE ST. CITY: PEABODY STATE: MA ZIP: 01960 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 4 1 dd_form4ex.xml X0201 4 2004-01-09 0 0000915127 PHC INC /MA/ PIHC 0001248560 DANGERFIELD DAVID PIONEER BEHAVIORAL HEALTH 200 LAKE ST. PEABODY MA 01960 1 0 0 0 Total Options 0 2004-01-09 2004-01-09 4 D 0 0 0 D 2004-01-09 2004-01-09 Total Options 0 30000 D Stock Options Granted 1.33 2004-01-09 2004-01-09 4 A 0 0 0 D 2004-01-09 2004-01-09 Stock Options Granted 0 40000 D No conversion price Used dummy dates as these shares are accumulative and have different dates Not applicable /s/ David Dangerfield 2004-01-09 -----END PRIVACY-ENHANCED MESSAGE-----