Form4insider filings, from the source

SEC Form 4 · accession 0001209191-15-026756

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 12, 2015
Accepted (ET)
Mar 16, 2015 · 9:54 pm EDT
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
Call Option (right to buy)F1,F2$105.00Mar 12, 2015M150,000DFeb 11, 2015Mar 13, 2015Series A Convertible Preferred Stock150,0000I
Series A Convertible Preferred StockF1,F4,F2,F3$39.88Mar 12, 2015M150,000A——Common Stock376,125765,916I

Explanation of responses

Remarks

Christopher Shackelton ("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 ("CCM"); Coliseum Capital, LLC ("CC"); Coliseum Capital Partners, L.P. ("CCP"); Coliseum Capital Partners II, L.P. ("CCP2"); Coliseum Capital Co-Invest, L.P. ("CCC") and Adam Gray ("Gray").