0001437749-17-004881.txt : 20170317 0001437749-17-004881.hdr.sgml : 20170317 20170317214722 ACCESSION NUMBER: 0001437749-17-004881 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170315 FILED AS OF DATE: 20170317 DATE AS OF CHANGE: 20170317 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENCE SERVICE CORP CENTRAL INDEX KEY: 0001220754 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 860845127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 700 CANAL STREET STREET 2: THIRD FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 BUSINESS PHONE: 203-307-2800 MAIL ADDRESS: STREET 1: 700 CANAL STREET STREET 2: THIRD FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LINDSTROM JAMES M CENTRAL INDEX KEY: 0001257737 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34221 FILM NUMBER: 17699961 MAIL ADDRESS: STREET 1: ONE SOUND SHORE DRIVE, SUITE 304 CITY: GREENWICH STATE: CT ZIP: 06830 4 1 rdgdoc.xml FORM 4 X0306 4 2017-03-15 0001220754 PROVIDENCE SERVICE CORP PRSC 0001257737 LINDSTROM JAMES M 700 CANAL STREET THIRD FLOOR STAMFORD CT 06902 1 1 Chief Executive Officer Common Stock 2017-03-15 4 A 0 9798 46.44 A 38951 D Common Stock 2017-03-15 4 F 0 4795 46.44 D 34156 D Employee Stock Option (Right to Buy) 46.44 2017-03-15 4 A 0 9798 0 A 2020-03-15 2027-03-15 Common Stock 9798 9798 D The reporting person elected to receive these shares of the Company's common stock in lieu of a specified portion of the reporting person's annual cash bonus compensation for the 2016 fiscal year. These shares are being surrendered to the issuer by the reporting person to cover the reporting person's income tax liability associated with the common stock received by the reporting person in lieu of a specified portion of the reporting person's annual cash bonus compensation for the 2016 fiscal year. This option will become fully exercisable on 3/15/2020, subject to the reporting person's continued employment with the Company. /s/ James M. Lindstrom 2017-03-17