SEC Form 4 · accession 0001181431-15-003255
PROVIDENCE SERVICE CORP · PRSC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kristi Meints
Director
Period of report
Feb 5, 2015
Accepted (ET)
Feb 24, 2015 · 5:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001220754
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subscription Right (right to buy)F1 | $100.00 | Feb 5, 2015 | M | 1,000 | D | Jan 6, 2015 | Feb 5, 2015 | Series A Convertible Preferred Stock | 1,000 | 500 | D |
| Series A Convertible Preferred StockF2,F3 | $39.88 | Feb 5, 2015 | M | 1,000 | A | — | — | Common Stock | 2,507 | 1,000 | D |
Explanation of responses
- F1These subscription rights expired on February 5, 2015.
- F2Represents the number of shares purchased pursuant to the Issuer's rights offering.
- F3Pursuant to the certificate of designation for the Series A Convertible Preferred Stock, upon receipt of stockholder approval by the Issuer's stockholders, each share of Series A Convertible Preferred Stock held by the Reporting Persons will be convertible, at the option of the Reporting Persons, into shares of Common Stock at an initial conversion ratio of approximately 2.5 shares of Common Stock per share of Series A Convertible Preferred Stock.