Form4insider filings, from the source

SEC Form 4 · accession 0000899243-17-007685

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
Mar 3, 2017
Accepted (ET)
Mar 15, 2017 · 9:45 pm EDT
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,F3,F4Mar 14, 2017M2,065$0.00A1,970,425ISee Footnote
Common StockF1,F2,F3,F4Mar 14, 2017M1,120$0.00A1,971,545ISee Footnote
Common StockF1,F2,F4,F5Mar 14, 2017D3,815$45.58D1,968,360ISee Footnotes

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Phantom StockF1,F3,F6—Mar 3, 2017A3,097A——Common Stock3,0973,097I
Phantom StockF1,F3—Mar 14, 2017M2,065DMar 14, 2017Mar 14, 2017Common Stock2,0650I
Phantom StockF1,F3—Mar 14, 2017M1,120DMar 14, 2017Mar 14, 2017Common Stock1,1202,240I

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; CCC; and Gray.