0001209191-13-018001.txt : 20130321 0001209191-13-018001.hdr.sgml : 20130321 20130321213843 ACCESSION NUMBER: 0001209191-13-018001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130319 FILED AS OF DATE: 20130321 DATE AS OF CHANGE: 20130321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DODD FRED THOMAS JR CENTRAL INDEX KEY: 0001533809 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35331 FILM NUMBER: 13709012 MAIL ADDRESS: STREET 1: 5334 SEATON STREET 2: DRIVE CITY: ATLANTA STATE: GA ZIP: 30338 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Acadia Healthcare Company, Inc. CENTRAL INDEX KEY: 0001520697 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 725 COOL SPRINGS BOULEVARD STREET 2: SUITE 600 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-732-6259 MAIL ADDRESS: STREET 1: 725 COOL SPRINGS BOULEVARD STREET 2: SUITE 600 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 c504235_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2013-03-19 0001520697 Acadia Healthcare Company, Inc. ACHC 0001533809 DODD FRED THOMAS JR ACADIA HEALTHCARE COMPANY, INC. 830 CRESCENT CENTRE DRIVE, SUITE 610 FRANKLIN TN 37067 0 0 1 0 Common Stock 2013-03-19 4 F 0 214 28.25 D 86700 D In connection with the merger of Acadia Healthcare Company, Inc. ("Acadia") and PHC, Inc., the reporting person entered into a stockholders agreement with Acadia and certain other stockholders. As a result, he may deemed to be a part of a "group" with such other stockholders. To the extent the reporting person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group. /s/ David M. Duckworth as Attorney in Fact for Fred Thomas Dodd, Jr. 2013-03-21