|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WAUD REEVE B C/O WAUD CAPITAL PARTNERS, L.L.C. 300 N. LASALLE STREET, SUITE 4900 CHICAGO, IL 60654 |
X | X |
/s/ Reeve B. Waud | 05/23/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents shares previously issued to Kyle D. Lattner for the benefit of Waud Capital Partners, L.L.C. ("WCP LLC"), which were cancelled in connection with Mr. Lattner's departure from the Acadia Healthcare Company, Inc. board of directors effective May 19, 2016. |
(2) | The shares are owned of record as follows: (i) 1,521,893 shares by Waud Capital Partners II, L.P. ("WCP II"), (ii) 2,782,263 shares by Waud Capital Partners QP II, L.P. ("WCP QP II"), (iii) 751,113 shares by the Reeve B. Waud 2011 Family Trust, (iv) 83,530 shares by Waud Family Partners, L.P. ("WFP LP"), (v) 424,622 shares by WCP FIF II (Acadia), L.P. ("WCP FIF II"), (vi) 434,886 shares by Waud Capital Affiliates II, L.L.C. ("Waud Affiliates II"), (vii) 223,184 shares by Waud Capital Affiliates III, L.L.C. ("Waud Affiliates III"), (viii) 606,228 shares by WCP FIF III (Acadia), L.P. ("WCP FIF III"), (ix) 1,381,335 shares by Waud Capital Partners QP III, L.P. ("WCP QP III"), (x) 244,274 shares by Waud Capital Partners III, L.P. ("WCP III"), (xi) 33,333 shares by Melissa W. Waud, Mr. Waud's wife, |
(3) | (continued from footnote 2), (xii) 2,286 by Kyle D. Lattner; (xiii) 30,724 shares by WCP LLC and (xiv) 795,667 shares by Crystal Cove LP. Waud Capital Partners Management II, L.P. ("WCPM II") is the general partner of WCP II, WCP QP II and WCP FIF II and the manager of Waud Affiliates II. Waud Capital Partners II, L.L.C. ("WCP II LLC") is the general partner of WCPM II. Waud Capital Partners Management III, L.P. ("WCPM III") is the general partner of WCP FIF III, WCP QP III and WCP III and the Manager of Waud Affiliates III. Waud Capital Partners III, L.L.C. ("WCP III LLC") is the general partner of WCPM III. |
(4) | Mr. Waud may be deemed to beneficially own the shares of common stock described in Footnotes (2) and (3) above by virtue of (A) his making decisions for the Limited Partner Committee of each of WCPM II and WCPM III, (B) his being the manager of WCP II LLC and WCP III LLC, (C) his being the general partner of WFP LP, (D) his being the investment advisor of the Reeve B. Waud 2011 Family Trust, (E) his being married to Ms. Waud, (F) his being the sole manager of WCP LLC and (G) his being the general partner of Crystal Cove LP. |
(5) | Mr. Waud expressly disclaims beneficial ownership of the reported shares except to the extent of his pecuniary interest therein. |
(6) | The shares are held of record by Mr. Reeve B. Waud for the benefit of WCP LLC, of which Mr. Waud is the sole manager. The shares will vest in three equal annual installments beginning May 19, 2017. |
(7) | Includes 6,841 shares that are held of record for the benefit of WCP LLC. |