X0306 4 2019-10-23 0 0001606180 AAC Holdings, Inc. AAC 0000908452 BURCH LUCIUS E III C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2019-10-23 4 A 0 437000 0.00 A 1707482 D This reporting person was granted 437,000 shares of common stock pursuant to the AAC Holdings, Inc. 2014 Equity Incentive Plan. This grant is fully vested and was made in respect of the reporting person's service as a director in 2019. Exhibit List - Exhibit 24 - Power of Attorney /s/ Karen H. Abbott, attorney-in-fact 2019-11-15