X0306 4 2018-04-05 0 0001606180 AAC Holdings, Inc. AAC 0000901155 RAGSDALE RICHARD E C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2018-04-05 4 A 0 6500 0.00 A 21544 D Common Stock 53560 I By Richard Elliot Ragsdale Revocable Trust This reporting person received 6,500 shares of common stock pursuant to the AAC Holdings, Inc. 2014 Equity Incentive Plan. This grant is fully vested and represents an annual retainer fee payable to independent directors of AAC Holdings, Inc. /s/ Kathryn Sevier Phillips, attorney-in-fact 2018-04-06