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