0001104659-16-114780.txt : 20160427
0001104659-16-114780.hdr.sgml : 20160427
20160427183745
ACCESSION NUMBER: 0001104659-16-114780
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160426
FILED AS OF DATE: 20160427
DATE AS OF CHANGE: 20160427
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Renal Associates Holdings, Inc.
CENTRAL INDEX KEY: 0001498068
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 272170749
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: AMERICAN RENAL HOLDINGS, INC.
STREET 2: 500 CUMMINGS CENTER, SUITE 6550
CITY: BEVERLY
STATE: MA
ZIP: 01915
BUSINESS PHONE: 978-922-3080
MAIL ADDRESS:
STREET 1: AMERICAN RENAL HOLDINGS, INC.
STREET 2: 500 CUMMINGS CENTER, SUITE 6550
CITY: BEVERLY
STATE: MA
ZIP: 01915
FORMER COMPANY:
FORMER CONFORMED NAME: C.P. Atlas Holdings, Inc.
DATE OF NAME CHANGE: 20100802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Costa Michael Ray
CENTRAL INDEX KEY: 0001655689
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37751
FILM NUMBER: 161596618
MAIL ADDRESS:
STREET 1: C/O AMERICAN RENAL ASSOCIATES HOLDINGS
STREET 2: 500 CUMMINGS CENTER
CITY: BEVERLY
STATE: MA
ZIP: 01915
4
1
a4.xml
4
X0306
4
2016-04-26
0
0001498068
American Renal Associates Holdings, Inc.
ARA
0001655689
Costa Michael Ray
C/O ARAH, INC.
500 CUMMINGS CENTER
BEVERLY
MA
01915
0
1
0
0
VP, GC AND SECRETARY
Common Stock
2016-04-26
4
P
0
370
22.00
A
14000
I
See Footnote
Reflects shares of common stock of the Issuer ("Common Stock") purchased under the Issuer's Directed Share Program in connection with the Issuer's initial public offering.
Securities held by trusts for the benefit of the Reporting Person's family. The Reporting Person disclaims beneficial ownership of the shares held by such trusts, except to the extent of his pecuniary interest therein. The filing of this statement by the Reporting Person shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, such Reporting Person is the beneficial owners of the securities reported herein.
By: /s/Michael R. Costa
2016-04-27