0000899243-16-014922.txt : 20160301 0000899243-16-014922.hdr.sgml : 20160301 20160301180613 ACCESSION NUMBER: 0000899243-16-014922 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160227 FILED AS OF DATE: 20160301 DATE AS OF CHANGE: 20160301 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: 161474919 MAIL ADDRESS: STREET 1: 30 TALL PINE COURT CITY: MEDFORD STATE: NJ ZIP: 08055 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-27 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 2016-02-27 4 F 0 234 56.31 D 11201 D 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 2016-03-01