0000899243-19-003449.txt : 20190213
0000899243-19-003449.hdr.sgml : 20190213
20190213170426
ACCESSION NUMBER: 0000899243-19-003449
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190213
DATE AS OF CHANGE: 20190213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JACOBS JOEY A
CENTRAL INDEX KEY: 0001243878
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35331
FILM NUMBER: 19598463
MAIL ADDRESS:
STREET 1: 830 CRESCENT CENTER DRIVE
STREET 2: SUITE 610
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2018-12-31
0
0
1
0001520697
Acadia Healthcare Company, Inc.
ACHC
0001243878
JACOBS JOEY A
ACADIA HEALTHCARE COMPANY, INC.
6100 TOWER CIRCLE, SUITE 1000
FRANKLIN
TN
37067
1
0
0
0
Common Stock
2018-12-16
4
F
0
36126
28.93
D
248073
D
Common Stock
267649
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.
/s/ Christopher L. Howard as Attorney in Fact for Joey A. Jacobs
2019-02-13