0001209191-15-046217.txt : 20150522 0001209191-15-046217.hdr.sgml : 20150522 20150522170131 ACCESSION NUMBER: 0001209191-15-046217 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150513 FILED AS OF DATE: 20150522 DATE AS OF CHANGE: 20150522 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: 830 CRESCENT CENTRE DRIVE STREET 2: SUITE 610 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-861-6000 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTRE DRIVE STREET 2: SUITE 610 CITY: FRANKLIN STATE: TN ZIP: 37067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDBERG RANDALL P CENTRAL INDEX KEY: 0001533818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35331 FILM NUMBER: 15887347 MAIL ADDRESS: STREET 1: 30 TALL PINE COURT CITY: MEDFORD STATE: NJ ZIP: 08055 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-13 0 0001520697 Acadia Healthcare Company, Inc. ACHC 0001533818 GOLDBERG RANDALL P ACADIA HEALTHCARE COMPANY, INC. 830 CRESCENT CENTRE DRIVE, SUITE 610 FRANKLIN TN 37067 0 0 1 0 Common Stock 2015-05-13 4 S 0 1856 67.50 D 11662 D The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other stockholders. As a result, he may be 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/ Christopher L. Howard as Attorney in Fact for Randall P. Goldberg 2015-05-22