SEC Form 4 · accession 0000899243-16-014523
Acadia Healthcare Company, Inc. · ACHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joey A Jacobs
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Feb 24, 2016
Accepted (ET)
Feb 26, 2016 · 5:05 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, 2016 | A | 41,362 | $0.00 | A | 337,114 | D | |
| Common StockF2 | Feb 24, 2016 | A | 22,332 | $0.00 | A | 359,446 | D | |
| Common StockF3 | Feb 24, 2016 | A | 12,532 | $0.00 | A | 371,978 | D | |
| Common Stock | Feb 24, 2016 | F | 31,528 | $55.84 | D | 340,450 | D | |
| Common StockF4,F5 | holding | — | — | — | 567,649 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares received upon vesting of performance vesting restricted stock units awarded on February 24, 2015.
- F2Shares received upon vesting of performance vesting restricted stock units awarded on February 27, 2014.
- F3Shares received upon vesting of performance vesting restricted stock units awarded on March 29, 2013.
- F4Mr. Jacobs expressly disclaims beneficial ownership of the reported securities, except to the extent of his pecuniary interest therein.
- F5By the Jeremy Brent Jacobs GST Non-Exempt u/a/d 04/26/2011 and Scott Douglas Jacobs GST Non-Exempt Trust u/a/d 04/26/2011.
Remarks
In connection with the merger of Acadia Healthcare Company, Inc. ("Acadia") and PHC, Inc., the reporting person entered into a stockholders agreement with Acadia and certain other stockholders. As a result, he may 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.