SEC Form 4 · accession 0001437749-17-020859
PROVIDENCE SERVICE CORP · PRSC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Severance
Officer — Chief Accounting Officer
Period of report
Dec 14, 2017
Accepted (ET)
Dec 18, 2017 · 4:30 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F1 | $56.42 | Dec 14, 2017 | A | 34,504 | A | Dec 31, 2018 | Dec 31, 2020 | Common Stock | 34,504 | 34,504 | D |
| Employee Stock Option (Right to Buy)F1 | $56.89 | Dec 16, 2017 | A | 1,786 | A | Dec 31, 2018 | Dec 31, 2020 | Common Stock | 1,786 | 1,786 | D |
Explanation of responses
- F1This option will become fully exercisable on 12/31/2018, subject to the Reporting Person's continued employment with the Company.