-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RgLzrVc7R7rSPr0CdaAtWy556E6EYFk0xTQLtkiuHv0XsbJKX6KXSc5T77TqQHx9 iwIPWd9x3URAk8VGAlrEKw== 0000904454-09-000467.txt : 20091002 0000904454-09-000467.hdr.sgml : 20091002 20091002141620 ACCESSION NUMBER: 0000904454-09-000467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090930 FILED AS OF DATE: 20091002 DATE AS OF CHANGE: 20091002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP CENTRAL INDEX KEY: 0001320414 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 MAIL ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRESSEY BRYAN C CENTRAL INDEX KEY: 0001072745 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101691 MAIL ADDRESS: STREET 1: C/O CLARION TECHNOLOGIES INC STREET 2: 235 CENTRAL AVE CITY: HOLLAND STATE: MI ZIP: 49423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THOMA CRESSEY FUND VII LP CENTRAL INDEX KEY: 0001120945 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101695 BUSINESS ADDRESS: STREET 1: 233 SOUTH WACKER DRIVE STREET 2: SEARS TOWER SUITE 9200 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-777-4433 MAIL ADDRESS: STREET 1: 233 SOUTH WACKER DRIVE STREET 2: SEARS TOWER SUITE 9200 CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thoma Cressey Bravo, Inc. CENTRAL INDEX KEY: 0001270210 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101696 BUSINESS ADDRESS: STREET 1: SEARS TOWER STREET 2: 92ND FL 233 S WACKER DR CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312.862.7348 MAIL ADDRESS: STREET 1: SEARS TOWER STREET 2: 92ND FL 233 S WACKER DR CITY: CHICAGO STATE: IL ZIP: 60606 FORMER NAME: FORMER CONFORMED NAME: THOMA CRESSEY EQUITY PARTNERS INC DATE OF NAME CHANGE: 20031113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THOMA CRESSEY FUND VI L P CENTRAL INDEX KEY: 0001058852 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101693 BUSINESS ADDRESS: STREET 1: 6100 SEARS TOWER CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-777-4433 MAIL ADDRESS: STREET 1: 233 SOUTH WACKER DRIVE STREET 2: SEARS TOWER SUITE 9200 CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thoma Cressey Friends Fund VII, L.P. CENTRAL INDEX KEY: 0001368807 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101694 BUSINESS ADDRESS: STREET 1: 233 S. WACKER 92ND FLOOR CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-777-4433 MAIL ADDRESS: STREET 1: 233 S. WACKER 92ND FLOOR CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thoma Cressey Friends Fund VI, L.P. CENTRAL INDEX KEY: 0001472826 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 091101692 BUSINESS ADDRESS: STREET 1: 233 SOUTH WACKER DRIVE STREET 2: SEARS TOWER SUITE 9200 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-777-4410 MAIL ADDRESS: STREET 1: 233 SOUTH WACKER DRIVE STREET 2: SEARS TOWER SUITE 9200 CITY: CHICAGO STATE: IL ZIP: 60606 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2009-09-30 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0001270210 Thoma Cressey Bravo, Inc. 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 0 0 1 0 0001120945 THOMA CRESSEY FUND VII LP 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 0 0 1 0 0001368807 Thoma Cressey Friends Fund VII, L.P. 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 0 0 1 0 0001058852 THOMA CRESSEY FUND VI L P 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 0 0 1 0 0001472826 Thoma Cressey Friends Fund VI, L.P. 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 0 0 1 0 0001072745 CRESSEY BRYAN C 9200 SEARS TOWER 233 SOUTH WACKER DRIVE CHICAGO IL 60606 1 0 1 0 Common Stock 2009-09-30 4 C 0 7575638 A 12842122 I By Funds named in Footnote Common Stock 2009-09-30 4 C 0 175976 A 298311 I By Bryan C. Cressey Participating Preferred Stock 2009-09-30 4 C 0 2610401 D Common Stock 7575638 0 I By Funds named in Footnote Participating Preferred Stock 2009-09-30 4 C 0 60637 D Common Stock 175976 0 I By Bryan C. Cressey Upon consummation of the Issuer's initial public offering, each share of Participating Preferred Stock automatically converted into the number of shares of Common Stock determined by (2) dividing the accreted value of such share of Participating Preferred Stock by the net price per share received by the Issuer in the initial public offering and (b) adding .30 shares of Common Stock for each share of Participating Preferred Stock owned. Owned by Thoma Cressey Fund VII, L.P. ("TC VII"), Thoma Cressey Friends Fund VII, L.P. ("TC Friends VII"), Thoma Cressey Fund VI, L.P. ("TC VI") and Thoma Cressey Friends Fund VI, L.P. ("TC Friends VI"). The sole general partner of TC VII and TC Friends VII is TC Partners VII, L.P. ("VII GP") and the sole general partner of TC VI and TC Friends VI is TC Partners VI, L.P. ("VI GP"). The sole general partner of both VII GP and VI GP is Thoma Cressey Bravo, Inc. ("TCBI"). The sole shareholder of TCBI is Carl D. Thoma. These securities are solely directly beneficially owned by Bryan C. Cressey. Mr. Cressey, who is a director of Issuer, is also an officer and a director of TCBI, and may also be deemed to indirectly beneficially own the securities held by TC VII, TC Friends VII, TC VI and TC Friends VI. Pursuant to Instruction (4)(b)(iv) of Form 4, Mr. Cressey has elected to report as indirectly benefically owned the entire number of securities beneficially owned by each such entity, however he disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him. Of such 2,610,401 shares, 1,464,119 are attributable to TCVII, 1,112,289 are attributable to TC VI, 22,870 are attributable to TC Friends VII and 11,123 are attributable to TC Friends VI. Of such 7,575,638 shares, 4,249,016 are held by TC VII, 3,227,972 are held by TCVI, 66,371 are held by TC Friends VII and 32,279 are held by TC Friends VI. Of such 12,842,122 shares, 7,202,876 are held by TC VII, 5,472,015 are held by TC VI, 112,511 are held by TC Friends VII and 54,720 are held by TC Friends VI. /s/Bryan C. Cressey for Thoma Cressey Bravo, Inc. 2009-10-02 /s/Bryan C. Cressey for Thoma Cressey Fund VII, L.P. 2009-10-02 /s/Bryan C. Cressey for Thoma Cressey Friends Fund VII, L.P. 2009-10-02 /s/Bryan C. Cressey for Thoma Cressey Fund VI, L.P. 2009-10-02 /s/Bryan C. Cressey Thoma Cressey Friends Fund VI, L.P. 2009-10-02 /s/Bryan C. Cressey 2009-10-02 -----END PRIVACY-ENHANCED MESSAGE-----