SEC Form 4 · accession 0001628280-18-003269
PROVIDENCE SERVICE CORP · PRSC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Casey Shackelton
Officer — Chief Financial Officer
Period of report
Mar 13, 2018
Accepted (ET)
Mar 15, 2018 · 9:20 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001220754
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 13, 2018 | M | 27,234 | $43.81 | A | 44,401 | D | |
| Common Stock | Mar 13, 2018 | S | 2,000 | $72.00 | D | 42,401 | D | |
| Common Stock | Mar 13, 2018 | S | 100 | $73.98 | D | 42,301 | D | |
| Common Stock | Mar 13, 2018 | S | 888 | $72.25 | D | 41,413 | D | |
| Common StockF1 | Mar 13, 2018 | S | 11,855 | $70.84 | D | 29,558 | D | |
| Common StockF2 | Mar 13, 2018 | S | 14,391 | $69.33 | D | 15,167 | D | |
| Common StockF3 | Mar 13, 2018 | G | 15,167 | $0.00 | D | 0 | D | |
| Common StockF3 | Mar 13, 2018 | G | 15,167 | $0.00 | A | 15,167 | I | By Trust |
| Common Stock | Mar 14, 2018 | M | 2,233 | $43.81 | A | 2,233 | D | |
| Common StockF4 | Mar 14, 2018 | S | 2,233 | $70.06 | D | 0 | D |
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)F5 | $43.81 | Mar 13, 2018 | M | 27,234 | D | — | Sep 11, 2024 | Common Stock | 27,234 | 22,766 | D |
| Employee Stock Option (Right to Buy)F5 | $43.81 | Mar 14, 2018 | M | 2,233 | D | — | Sep 11, 2024 | Common Stock | 2,233 | 20,533 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $70.50 to $71.40, inclusive. The Reporting Person undertakes to provide to The Providence Service Corporation (the "Company"), any securityholder of the Company, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote and footnotes 2 and 4 of this Form 4.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $69.10 to $70.07, inclusive.
- F3These 15,167 shares were gifted to an irrevocable trust for the benefit of the Reporting Person and his wife and children.
- F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $70 to $70.25, inclusive.
- F5This option, representing a right to purchase a total of 50,000 shares of common stock, became exercisable one-third beginning on September 11, 2014, an additional one-third on June 30, 2015 and fully exercisable on June 30, 2016.