0001498068-20-000083.txt : 20200611 0001498068-20-000083.hdr.sgml : 20200611 20200611163514 ACCESSION NUMBER: 0001498068-20-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200609 FILED AS OF DATE: 20200611 DATE AS OF CHANGE: 20200611 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: 20957565 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_159190769567606.xml FORM 4 X0306 4 2020-06-09 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 2020-06-09 4 M 0 208360 1.28 A 454344 D Common Stock 2020-06-09 4 M 0 208360 1.28 A 662704 D Common Stock 2020-06-09 4 F 0 71825 6.78 D 590879 D Common Stock 654285 I See Footnote Stock Option (Right to Buy) 1.28 2020-06-09 4 M 0 208360 0 D 2020-07-09 Common Stock 208360.0 0 D Stock Option (Right to Buy) 1.28 2020-06-09 4 M 0 208360 0 D 2020-07-09 Common Stock 208360.0 0 D Reflects the exercise of options that were otherwise set to expire on July 9, 2020. Reflects shares withheld by the issuer to cover a portion of the option exercise price and tax withholding obligations in connection with the exercise of an expiring stock option. 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 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 vested upon the attainment by Centerbridge Capital Partners, L.P. and certain of its affiliates (together, "Centerbridge") of both a 2.5 times return on investment ("MOIC") and a 20% internal rate of return ("IRR"). An option that vested upon the attainment by Centerbridge of both a 3.0 times MOIC and a 25% IRR. /s/ Victoria A. Labriola, by power of attorney 2020-06-11