0000899243-16-012914.txt : 20160209
0000899243-16-012914.hdr.sgml : 20160209
20160209170024
ACCESSION NUMBER: 0000899243-16-012914
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160205
FILED AS OF DATE: 20160209
DATE AS OF CHANGE: 20160209
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: 161400788
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
2016-02-05
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
2016-02-05
4
A
0
27797
0.00
A
295752
D
Common Stock
567649
I
See Footnote
Shares will vest over a 4-year period in equal annual installments beginning February 5, 2017.
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
2016-02-09