0000899243-19-011258.txt : 20190426 0000899243-19-011258.hdr.sgml : 20190426 20190426163107 ACCESSION NUMBER: 0000899243-19-011258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190424 FILED AS OF DATE: 20190426 DATE AS OF CHANGE: 20190426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACKBURN MICHAEL J. CENTRAL INDEX KEY: 0001698910 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36643 FILM NUMBER: 19772160 MAIL ADDRESS: STREET 1: C/O AMERICAN ADDICTION CENTERS STREET 2: 200 POWELL PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AAC Holdings, Inc. CENTRAL INDEX KEY: 0001606180 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 352496142 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 POWELL PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-732-1366 MAIL ADDRESS: STREET 1: 200 POWELL PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-04-24 0 0001606180 AAC Holdings, Inc. AAC 0001698910 BLACKBURN MICHAEL J. C/O AMERICAN ADDICTION CENTERS 200 POWELL PLACE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2019-04-24 4 A 0 45454 0.00 A 71708 D Common Stock 2019-04-24 4 A 0 45454 0.00 A 117162 D Common Stock 3223 I By The Elizabeth S. Blackburn Trust - 2015 Common Stock 106204 I By The Michael J. Blackburn Trust - 2015 This reporting person was granted 45,454 shares of common stock pursuant to the AAC Holdings, Inc. 2014 Equity Incentive Plan (the "EIP"). This grant is fully vested and was made in respect of the reporting person's service as a director in 2018. The reporting person was granted 45,454 shares of restricted common stock pursuant to the EIP. Subject to the director's continued service on the board, this grant will vest in full on December 31, 2019. This grant was made in respect of the reporting person's continued service as a director in 2019. Exhibit 24 - Power of Attorney /s/ Chris Chi, Attorney-in-Fact 2019-04-26 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

     Know all by these presents, that the undersigned hereby constitutes and
appoints Chris Chi, signing singly, the undersigned's true and lawful attorney-
in-fact to:

     (1)   prepare, execute in the undersigned's name and on the undersigned's
           behalf, and submit to the U.S. Securities and Exchange Commission
           (the "SEC") a Form ID, including amendments thereto, and any other
           documents necessary or appropriate to obtain codes and passwords
           enabling the undersigned to make electronic filings with the SEC of
           reports required by Section 16(a) of the Securities Exchange Act of
           1934 or any rule or regulation of the SEC;

     (2)   execute for and on behalf of the undersigned, in the undersigned's
           capacity as a director of AAC Holdings, Inc. (the "Company"), Forms
           3, 4 and 5 in accordance with Section 16(a) of the Securities
           Exchange Act of 1934 and the rules thereunder, and any other forms or
           reports the undersigned may be required to file in connection with
           the undersigned's ownership, acquisition, or disposition of
           securities of the Company;

     (3)   do and perform any and all acts for and on behalf of the undersigned
           which may be necessary or desirable to complete and execute any such
           Form 3, 4, or 5, or other form or report, complete and execute any
           amendment or amendments thereto, and timely file such form or report
           with the United States Securities and Exchange Commission and any
           stock exchange or similar authority; and

     (4)   take any other action of any type whatsoever in connection with the
           foregoing which, in the opinion of such attorney-in-fact, may be of
           benefit to, in the best interest of, or legally required by, the
           undersigned, it being understood that the documents executed by such
           attorney-in-fact on behalf of the undersigned pursuant to this Power
           of Attorney shall be in such form and shall contain such terms and
           conditions as such attorney-in-fact may approve in such attorney-in-
           fact's discretion.

     The undersigned hereby grants to the attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorney-in-fact, in
serving in such capacity at the request of the undersigned, is not assuming, nor
is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 7th day of February, 2019.



                           By: 	    /s/ Michael J. Blackburn
                                    -------------------------------
                           Name:    Michael J. Blackburn
                           Title:   Director