0001104659-16-155913.txt : 20161109
0001104659-16-155913.hdr.sgml : 20161109
20161109174010
ACCESSION NUMBER: 0001104659-16-155913
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161107
FILED AS OF DATE: 20161109
DATE AS OF CHANGE: 20161109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosenberg Daniel
CENTRAL INDEX KEY: 0001352791
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985331
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN AVENUE, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOEHN SARIC RULDOLF CHRISTOPHER
CENTRAL INDEX KEY: 0001011193
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985332
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN AVENUE, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BECKER DOUGLAS L
CENTRAL INDEX KEY: 0001072473
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985333
MAIL ADDRESS:
STREET 1: C/O 650 DUNDEE ROAD
STREET 2: SUITE 370
CITY: NORTHBROOK
STATE: IL
ZIP: 60062
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SC Partners III, L.P.
CENTRAL INDEX KEY: 0001611317
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985336
BUSINESS ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312 465 7000
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCP III AIV THREE-FCER, L.P.
CENTRAL INDEX KEY: 0001611319
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985337
BUSINESS ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312 465 7000
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCP III AIV THREE-FCER Conduit, L.P.
CENTRAL INDEX KEY: 0001611318
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985338
BUSINESS ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312 465 7000
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sterling Capital Partners III, LLC
CENTRAL INDEX KEY: 0001611325
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985339
BUSINESS ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312 465 7000
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Adeptus Health Inc.
CENTRAL INDEX KEY: 0001602367
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060]
IRS NUMBER: 465037387
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2941 SOUTH LAKE VISTA
STREET 2: SUITE 200
CITY: LEWISVILLE
STATE: TX
ZIP: 75067
BUSINESS PHONE: 9728996666
MAIL ADDRESS:
STREET 1: 2941 SOUTH LAKE VISTA
STREET 2: SUITE 200
CITY: LEWISVILLE
STATE: TX
ZIP: 75067
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Taslitz Steven
CENTRAL INDEX KEY: 0001407214
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985335
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN AVENUE, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ELFMAN MERRICK
CENTRAL INDEX KEY: 0001011186
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36520
FILM NUMBER: 161985334
MAIL ADDRESS:
STREET 1: C/O STERLING PARTNERS
STREET 2: 401 NORTH MICHIGAN AVENUE, SUITE 3300
CITY: CHICAGO
STATE: IL
ZIP: 60611
4
1
a4.xml
4
X0306
4
2016-11-07
0
0001602367
Adeptus Health Inc.
ADPT
0001611325
Sterling Capital Partners III, LLC
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001611318
SCP III AIV THREE-FCER Conduit, L.P.
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001611319
SCP III AIV THREE-FCER, L.P.
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001611317
SC Partners III, L.P.
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001407214
Taslitz Steven
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001011186
ELFMAN MERRICK
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001072473
BECKER DOUGLAS L
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001011193
HOEHN SARIC RULDOLF CHRISTOPHER
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
0001352791
Rosenberg Daniel
C/O STERLING PARTNERS, 401
NORTH MICHIGAN AVENUE, SUITE 3300
CHICAGO
IL
60611
1
0
1
0
Series A Preferred Stock
2016-11-07
4
A
0
4313
1000
A
4313
I
See Footnotes
Series A Preferred Stock
2016-11-07
4
A
0
3187
1000
A
3187
I
See Footnotes
On November 7, 2016, SCP III AIV THREE-FCER, L.P. and SCP III AIV THREE-FCER Conduit, L.P. purchased 4,313 and 3,187 newly issued shares of Series A Preferred Stock, par value $0.01, of the Company ("Series A Preferred Stock") for an aggregate amount of $4,313,000 and $3,187,000, respectively.
Shares of Series A Preferred Stock of the Issuer are held by SCP III AIV THREE-FCER, L.P.
Shares of Series A Preferred Stock of the Issuer are held by SCP III AIV THREE-FCER Conduit, L.P.
Sterling Capital Partners III, LLC is the general partner of SC Partners III, L.P., the general partner of each of SCP III AIV THREE-FCER, L.P. and SCP III AIV THREE-FCER Conduit, L.P. Messrs. Steven M. Taslitz, Merrick M. Elfman, Douglas L. Becker and R. Christopher Hoehn-Saric are the managers of Sterling Capital Partners III, LLC. Mr. Rosenberg also has an indirect interest in the securities of the Issuer reported herein.
Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein.
/s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER, L.P.
2016-11-09
/s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER Conduit, L.P.
2016-11-09
/s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P.
2016-11-09
/s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC
2016-11-09
/s/ M. Avi Epstein, attorney-in-fact for Steven M. Taslitz
2016-11-09
/s/ M. Avi Epstein, attorney-in-fact for Merrick M. Elfman
2016-11-09
/s/ M. Avi Epstein, attorney-in-fact for Douglas L. Becker
2016-11-09
/s/ M. Avi Epstein, attorney-in-fact for R. Christopher Hoehn-Saric
2016-11-09
/s/ M. Avi Epstein, attorney-in-fact for Daniel W. Rosenberg
2016-11-09