X0306 4 2018-04-05 0 0001606180 AAC Holdings, Inc. AAC 0001620603 Cartwright Michael T. C/O AMERICAN ADDICTION CENTERS, INC. 200 POWELL PLACE BRENTWOOD TN 37027 1 1 1 0 Chairman and CEO Common Stock 2018-04-05 4 A 0 20000 0.00 A 171609 I By wife Common Stock 2780099 D Common Stock 954507 I By Irrevocable Family Trust of Tina Cartwright Common Stock 954507 I By Irrevocable Family Trust of Michael T. Cartwright The reporting person's spouse, Tina F. Cartwright, is the President of CRMS, a subsidiary of the registrant, and in connection with her employment received 20,000 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