0000899243-16-012920.txt : 20160209 0000899243-16-012920.hdr.sgml : 20160209 20160209170205 ACCESSION NUMBER: 0000899243-16-012920 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150224 FILED AS OF DATE: 20160209 DATE AS OF CHANGE: 20160209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Acadia Healthcare Company, Inc. CENTRAL INDEX KEY: 0001520697 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6100 TOWER CIRCLE STREET 2: SUITE 1000 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-861-6000 MAIL ADDRESS: STREET 1: 6100 TOWER CIRCLE STREET 2: SUITE 1000 CITY: FRANKLIN STATE: TN ZIP: 37067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDBERG RANDALL P CENTRAL INDEX KEY: 0001533818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35331 FILM NUMBER: 161400823 MAIL ADDRESS: STREET 1: 30 TALL PINE COURT CITY: MEDFORD STATE: NJ ZIP: 08055 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-02-24 0 0001520697 Acadia Healthcare Company, Inc. ACHC 0001533818 GOLDBERG RANDALL P ACADIA HEALTHCARE COMPANY, INC. 6100 TOWER CIRCLE SUITE 1000 FRANKLIN TN 37067 0 0 1 0 Common Stock 2015-02-24 4 A 0 2600 0.00 A 10690 D Common Stock 2016-02-05 4 A 0 1000 0.00 A 11690 D Employee Stock Option (right to buy) 61.65 2015-02-24 4 A 0 1600 0.00 A 2016-02-24 2025-02-24 Common Stock 1600 1600 D Employee Stock Option (right to buy) 59.72 2016-02-05 4 A 0 3000 0.00 A 2017-02-05 2026-02-05 Common Stock 3000 3000 D Shares will vest over a 4-year period in equal yearly installments beginning February 24, 2016. Shares will vest over a 4-year period in equal yearly installments beginning February 5, 2017. The options will vest over a 4-year period in equal yearly installments beginning February 24, 2016. The options will vest over a 4-year period in equal yearly installments beginning February 5, 2017. The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other stockholders. As a result, he may be deemed to be a part of a "group" with such other stockholders. To the extent the reporting person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group. /s/ Christopher L. Howard as Attorney in Fact for Randall P. Goldberg 2016-02-09