SEC Form 4 · accession 0000899243-16-012920
Acadia Healthcare Company, Inc. · ACHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Randall P Goldberg
10% Owner
Period of report
Feb 24, 2015
Accepted (ET)
Feb 9, 2016 · 5:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001520697
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 24, 2015 | A | 2,600 | $0.00 | A | 10,690 | D | |
| Common StockF2 | Feb 5, 2016 | A | 1,000 | $0.00 | A | 11,690 | 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)F3 | $61.65 | Feb 24, 2015 | A | 1,600 | A | Feb 24, 2016 | Feb 24, 2025 | Common Stock | 1,600 | 1,600 | D |
| Employee Stock Option (right to buy)F4 | $59.72 | Feb 5, 2016 | A | 3,000 | A | Feb 5, 2017 | Feb 5, 2026 | Common Stock | 3,000 | 3,000 | D |
Explanation of responses
- F1Shares will vest over a 4-year period in equal yearly installments beginning February 24, 2016.
- F2Shares will vest over a 4-year period in equal yearly installments beginning February 5, 2017.
- F3The options will vest over a 4-year period in equal yearly installments beginning February 24, 2016.
- F4The options will vest over a 4-year period in equal yearly installments beginning February 5, 2017.
Remarks
The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other stockholders. As a result, he may be deemed to be a part of a "group" with such other stockholders. To the extent the reporting person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group.