0001179110-17-004501.txt : 20170313 0001179110-17-004501.hdr.sgml : 20170313 20170313172950 ACCESSION NUMBER: 0001179110-17-004501 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170310 FILED AS OF DATE: 20170313 DATE AS OF CHANGE: 20170313 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: Carlucci Joseph A CENTRAL INDEX KEY: 0001655251 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37751 FILM NUMBER: 17686223 MAIL ADDRESS: STREET 1: C/O AMERICAN RENAL ASSOCIATES HOLDINGS STREET 2: 500 CUMMINGS CENTER CITY: BEVERLY STATE: MA ZIP: 01915 4 1 edgar.xml FORM 4 - X0306 4 2017-03-10 0 0001498068 American Renal Associates Holdings, Inc. ARA 0001655251 Carlucci Joseph A C/O ARAH INC. 500 CUMMING CENTER, SUITE 6550 BEVERLY MA 01915 1 1 0 0 Chief Executive Officer Common Stock 2017-03-10 4 A 0 63255 0 A 63755 D Common Stock 654285 I See Footnote Stock Option (Right to Buy Common Stock) 17.39 2017-03-10 4 A 0 105000 0 A 2027-03-10 Common Stock 105000 105000 D Reflects grant of restricted stock that vests in three equal annual installments beginning on March 10, 2018. Shares held by trust 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 an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, such Reporting Person is the beneficial owner of the securities reported herein. An option that vests in three equal annual installments beginning on March 10, 2018. /s/ Michael R. Costa, by power of attorney 2017-03-13