X0306 4 2019-05-31 1 0001606180 AAC Holdings, Inc. AAC 0001209206 KLOEPPEL DAVID C C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2019-05-31 4 D 0 45454 0.00 D 209034 D Common Stock 31500 I By Bluegrass Capital Trust Common Stock 25000 I By Sunshine Capital Trust The reported item represents shares that were forfeited back to the issuer pursuant to Rule 16b-3(e) upon the resignation of the director on May 31, 2019. /s/ Chris Chi, Attorney-in-Fact 2019-06-06