Form4insider filings, from the source

SEC Form 4 · accession 0000899243-16-012169

PROVIDENCE SERVICE CORP · PRSC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
COLISEUM CAPITAL PARTNERS, L.P.
Director · 10% Owner
Coliseum Capital, LLC
Director · 10% Owner
Christopher S Shackelton
Director · 10% Owner
Adam Gray
Director · 10% Owner
Period of report
Jan 21, 2016
Accepted (ET)
Jan 25, 2016 · 8:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001220754

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockF1,F2,F3Jan 21, 2016M4,167$0.00A2,226,468ISee Footnote
Common StockF1,F2,F3,F4Jan 21, 2016D4,167$43.55D2,222,301ISee Footnotes

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Phantom StockF1,F2—Jan 21, 2016M4,167DJan 21, 2016Jan 21, 2016Common Stock4,1670I

Explanation of responses

Remarks

Shackelton is a director of the Issuer. As a result, the following persons may be deemed directors by deputization of the Issuer solely for purposes of Section 16 of the Securities Exchange Act of 1934, as amended: CCM; CC; CCP; CCP2; Coliseum Capital Co-Invest, L.P.; and Gray.