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