X0306 4 2018-04-05 0 0001606180 AAC Holdings, Inc. AAC 0001727873 NANKO MICHAEL C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 0 1 0 0 President and COO Common Stock 2018-04-05 4 A 0 50000 0.00 A 50000 D This reporting person received 50,000 shares of restricted common stock pursuant to the AAC Holdings, Inc. 2014 Equity Incentive Plan. This grant vests in three equal annual installments beginning on December 31, 2018. /s/ Kathryn Sevier Phillips, attorney-in-fact 2018-04-06