0001209191-17-059817.txt : 20171108
0001209191-17-059817.hdr.sgml : 20171108
20171108173812
ACCESSION NUMBER: 0001209191-17-059817
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171107
FILED AS OF DATE: 20171108
DATE AS OF CHANGE: 20171108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Menz Jerrod N.
CENTRAL INDEX KEY: 0001454709
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36643
FILM NUMBER: 171187675
MAIL ADDRESS:
STREET 1: C/O AMERICAN ADDICTION CENTERS, INC.
STREET 2: 115 EAST PARK DRIVE, SECOND FLOOR
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AAC Holdings, Inc.
CENTRAL INDEX KEY: 0001606180
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
IRS NUMBER: 352496142
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 POWELL PLACE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-732-1366
MAIL ADDRESS:
STREET 1: 200 POWELL PLACE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-11-07
0
0001606180
AAC Holdings, Inc.
AAC
0001454709
Menz Jerrod N.
C/O AMERICAN ADDICTION CENTERS, INC.
200 POWELL PLACE
BRENTWOOD
TN
37027
0
0
1
0
Common Stock
2017-11-07
4
S
0
700000
10.22
D
1777745
D
Common Stock
954507
I
By Irrevocable Family Trust of Victoria Menz
Common Stock
954507
I
By Irrevocable Family Trust of Jerrod Menz
Common Stock
117162
I
By wife
As previously disclosed, in connection with the reporting person's resignation from the Issuer on September 8, 2017, the reporting person forfeited 50,000 shares of unvested restricted stock.
/s/ Kathryn Sevier Phillips, attorney-in-fact
2017-11-08