Form4insider filings, from the source

SEC Form 4 · accession 0001209191-15-029824

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 18, 2015
Accepted (ET)
Mar 27, 2015 · 3:14 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
Phantom StockF1,F2—Mar 18, 2015A1,333AMar 18, 2016Mar 18, 2016Common Stock1,3331,333I
Phantom StockF1,F2—Mar 18, 2015A1,333AMar 18, 2017Mar 18, 2017Common Stock1,3331,333I
Phantom StockF1,F2—Mar 18, 2015A1,334AMar 18, 2018Mar 18, 2018Common Stock1,3341,334I

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.