Form4insider filings, from the source

SEC Form 4 · accession 0001209191-15-016975

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
Feb 2, 2015
Accepted (ET)
Feb 20, 2015 · 9:52 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

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Subscription Right (right to buy)F1$100.00Feb 2, 2015M91,800DJan 6, 2015Feb 5, 2015Series A Convertible Preferred Stock91,8000I
Series A Convertible Preferred StockF2,F3,F1$39.88Feb 2, 2015M91,800A——Common Stock230,18991,800I
Series A Convertible Preferred StockF3,F4,F1$39.88Feb 11, 2015A524,116A——Common Stock1,314,231615,916I

Explanation of responses

Remarks

Christopher 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: Coliseum Capital Management, LLC; Coliseum Capital, LLC; Coliseum Capital Partners, L.P.; Coliseum Capital Partners II, L.P.; Coliseum Capital Co-Invest, L.P. and Adam Gray.