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