0001498068-20-000083.txt : 20200611
0001498068-20-000083.hdr.sgml : 20200611
20200611163514
ACCESSION NUMBER: 0001498068-20-000083
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200609
FILED AS OF DATE: 20200611
DATE AS OF CHANGE: 20200611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carlucci Joseph A
CENTRAL INDEX KEY: 0001655251
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37751
FILM NUMBER: 20957565
MAIL ADDRESS:
STREET 1: C/O AMERICAN RENAL ASSOCIATES HOLDINGS
STREET 2: 500 CUMMINGS CENTER
CITY: BEVERLY
STATE: MA
ZIP: 01915
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Renal Associates Holdings, Inc.
CENTRAL INDEX KEY: 0001498068
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 272170749
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: AMERICAN RENAL HOLDINGS, INC.
STREET 2: 500 CUMMINGS CENTER, SUITE 6550
CITY: BEVERLY
STATE: MA
ZIP: 01915
BUSINESS PHONE: 978-922-3080
MAIL ADDRESS:
STREET 1: AMERICAN RENAL HOLDINGS, INC.
STREET 2: 500 CUMMINGS CENTER, SUITE 6550
CITY: BEVERLY
STATE: MA
ZIP: 01915
FORMER COMPANY:
FORMER CONFORMED NAME: C.P. Atlas Holdings, Inc.
DATE OF NAME CHANGE: 20100802
4
1
wf-form4_159190769567606.xml
FORM 4
X0306
4
2020-06-09
0
0001498068
American Renal Associates Holdings, Inc.
ARA
0001655251
Carlucci Joseph A
C/O ARAH INC.
500 CUMMINGS CENTER, SUITE 6550
BEVERLY
MA
01915
1
1
0
0
Chief Executive Officer
Common Stock
2020-06-09
4
M
0
208360
1.28
A
454344
D
Common Stock
2020-06-09
4
M
0
208360
1.28
A
662704
D
Common Stock
2020-06-09
4
F
0
71825
6.78
D
590879
D
Common Stock
654285
I
See Footnote
Stock Option (Right to Buy)
1.28
2020-06-09
4
M
0
208360
0
D
2020-07-09
Common Stock
208360.0
0
D
Stock Option (Right to Buy)
1.28
2020-06-09
4
M
0
208360
0
D
2020-07-09
Common Stock
208360.0
0
D
Reflects the exercise of options that were otherwise set to expire on July 9, 2020.
Reflects shares withheld by the issuer to cover a portion of the option exercise price and tax withholding obligations in connection with the exercise of an expiring stock option.
Shares held by trusts for the benefit of the Reporting Person's family. The Reporting Person disclaims beneficial ownership of the shares held by such trusts, except to the extent of his pecuniary interest therein. The filing of this statement by the Reporting Person shall not be deemed an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, such Reporting Person is the beneficial owner of the securities reported herein.
An option that vested upon the attainment by Centerbridge Capital Partners, L.P. and certain of its affiliates (together, "Centerbridge") of both a 2.5 times return on investment ("MOIC") and a 20% internal rate of return ("IRR").
An option that vested upon the attainment by Centerbridge of both a 3.0 times MOIC and a 25% IRR.
/s/ Victoria A. Labriola, by power of attorney
2020-06-11