0001498068-18-000025.txt : 20180313
0001498068-18-000025.hdr.sgml : 20180313
20180313163634
ACCESSION NUMBER: 0001498068-18-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180309
FILED AS OF DATE: 20180313
DATE AS OF CHANGE: 20180313
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: 18686953
MAIL ADDRESS:
STREET 1: C/O AMERICAN RENAL ASSOCIATES HOLDINGS
STREET 2: 500 CUMMINGS CENTER
CITY: BEVERLY
STATE: MA
ZIP: 01915
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
4
1
wf-form4_152097338026029.xml
FORM 4
X0306
4
2018-03-09
0
0001498068
American Renal Associates Holdings, Inc.
ARA
0001655689
Costa Michael Ray
C/O ARAH INC.
500 CUMMINGS CENTER, SUITE 6550
BEVERLY
MA
01915
0
1
0
0
VP and General Counsel
Common Stock
2018-03-09
4
A
0
7390
0
A
14578
D
Common Stock
2018-03-10
4
F
0
692
22.33
D
13886
D
Common Stock
14000
I
See Footnote
Reflects grant of restricted stock that vests in four annual installments beginning March 9, 2019, with 29.167% of such shares vesting on the first three anniversaries of the grant date and the remaining unvested shares vesting on the fourth anniversary.
Reflects shares withheld by the issuer to satisfy tax withholding obligations upon the vesting of previously granted shares of restricted stock.
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.
/s/ Michael R. Costa
2018-03-13