0000899243-15-003478.txt : 20150818
0000899243-15-003478.hdr.sgml : 20150818
20150818180325
ACCESSION NUMBER: 0000899243-15-003478
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150814
FILED AS OF DATE: 20150818
DATE AS OF CHANGE: 20150818
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Acadia Healthcare Company, Inc.
CENTRAL INDEX KEY: 0001520697
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6100 TOWER CIRCLE
STREET 2: SUITE 1000
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 615-861-6000
MAIL ADDRESS:
STREET 1: 6100 TOWER CIRCLE
STREET 2: SUITE 1000
CITY: FRANKLIN
STATE: TN
ZIP: 37067
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JACOBS JOEY A
CENTRAL INDEX KEY: 0001243878
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35331
FILM NUMBER: 151062422
MAIL ADDRESS:
STREET 1: 830 CRESCENT CENTER DRIVE
STREET 2: SUITE 610
CITY: FRANKLIN
STATE: TN
ZIP: 37067
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-08-14
0
0001520697
Acadia Healthcare Company, Inc.
ACHC
0001243878
JACOBS JOEY A
ACADIA HEALTHCARE COMPANY, INC.
6100 TOWER CIRCLE, SUITE 1000
FRANKLIN
TN
37067
1
1
1
0
Chief Executive Officer
Common Stock
2015-08-14
4
S
0
42066
80.47
D
282954
D
Common Stock
2015-08-14
4
S
0
50000
80.47
D
567649
I
See Footnote
Mr. Jacobs expressly disclaims beneficial ownership of the reported securities, except to the extent of his pecuniary interest therein.
By the Jeremy Brent Jacobs GST Non-Exempt u/a/d 04/26/2011 and Scott Douglas Jacobs GST Non-Exempt Trust u/a/d 04/26/2011.
The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other
stockholders. As a result, he may be deemed to be a part of a "group" with such other stockholders. To the extent the reporting
person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group.
/s/ Christopher L. Howard as Attorney in Fact for Joey A. Jacobs
2015-08-18