SEC Form 4 · accession 0001209191-15-032438
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
Apr 1, 2015
Accepted (ET)
Apr 3, 2015 · 5:46 pm EDT
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 StockF2 | Apr 1, 2015 | S | 9,023 | $69.8899 | D | 325,020 | D | |
| Common Stock | Apr 2, 2015 | M | 8,831 | $50.75 | A | 333,851 | D | |
| Common Stock | Apr 2, 2015 | M | 18,313 | $15.96 | A | 352,164 | D | |
| Common Stock | Apr 2, 2015 | M | 16,650 | $29.39 | A | 368,814 | D | |
| Common Stock | Apr 2, 2015 | F | 28,540 | $70.20 | D | 340,274 | D | |
| Common StockF3 | Apr 2, 2015 | S | 15,254 | $70.156 | D | 325,020 | D | |
| Common StockF4,F5 | holding | — | — | — | 617,649 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $50.75 | Apr 2, 2015 | M | 8,831 | D | Feb 27, 2015 | Feb 27, 2024 | Common Stock | 8,831 | 26,494 | D |
| Stock Option | $15.96 | Apr 2, 2015 | M | 18,313 | D | Mar 19, 2014 | Mar 19, 2022 | Common Stock | 18,313 | 18,315 | D |
| Stock Option | $29.39 | Apr 2, 2015 | M | 16,650 | D | Mar 29, 2014 | Mar 29, 2023 | Common Stock | 16,650 | 33,300 | D |
Explanation of responses
- F1The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 1, 2014.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $69.1800 to $70.9600, inclusive. The reporting person undertakes to provide to Acadia Healthcare Company, Inc. (Acadia), any security holder of Acadia, 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 ranges set forth in this footnote.
- F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $69.7400 to $71.0000, inclusive. The reporting person undertakes to provide to Acadia Healthcare Company, Inc. (Acadia), any security holder of Acadia, 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 ranges set forth in this footnote.
- 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 Trust u/a/d 04/26/2011 and Scott Douglas Jacobs GST Non-Exempt Trust u/a/d 04/26/2011.
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.