0001498068-20-000046.txt : 20200319
0001498068-20-000046.hdr.sgml : 20200319
20200319160501
ACCESSION NUMBER: 0001498068-20-000046
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200318
FILED AS OF DATE: 20200319
DATE AS OF CHANGE: 20200319
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: 20728456
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_158464828439637.xml
FORM 4
X0306
4
2020-03-18
0
0001498068
American Renal Associates Holdings, Inc.
ARA
0001655251
Carlucci Joseph A
C/O ARAH INC.
500 CUMMINGS CENTER, SUITE 6550
BEVERLY
MA
01915
1
1
0
0
Chief Executive Officer
Common Stock
2020-03-18
4
A
0
131927
0
A
245984
D
Common Stock
654285
I
See Footnote
Reflects grant of restricted stock that vests 70% on March 18, 2021 and the remaining 30% on the date that is 12 months following the earlier to occur of (i) the date on which a successor chief executive officer designated by the Issuer's Board of Directors commences employment with the Issuer and (ii) the date of the Reporting Person's termination of employment with the Issuer for any reason.
Shares 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/ Victoria A. Labriola, by power of attorney
2020-03-19