-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HJjgZn9TFrAM44c1OUHqLoj9czZ+A/ByCAlmqGB1UjIx6zOoGqzQULuhyVGZT/TN 5U4Stt8pZ6KBpVzPmqIUVA== 0000950142-04-000195.txt : 20040122 0000950142-04-000195.hdr.sgml : 20040122 20040122171200 ACCESSION NUMBER: 0000950142-04-000195 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030619 FILED AS OF DATE: 20040122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PSYCHIATRIC SOLUTIONS INC CENTRAL INDEX KEY: 0000829608 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 232491707 STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 113 SEABOARD LANE STREET 2: SUITE C-100 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-312-5700 MAIL ADDRESS: STREET 1: 113 SEABOARD LANE STREET 2: SUITE C-100 CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: PMR CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ZARON CAPITAL INC DATE OF NAME CHANGE: 19891116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DONLAN JOSEPH P CENTRAL INDEX KEY: 0001052085 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-20488 FILM NUMBER: 04538349 BUSINESS ADDRESS: STREET 1: 59 WALL STREET CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: 2124937882 MAIL ADDRESS: STREET 1: 59 WALL STREET CITY: NEW YORK STATE: NY ZIP: 10005 4/A 1 form4a-jpd61903_psysex.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP X0201 4/A 2003-06-19 2003-06-19 0 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001052085 DONLAN JOSEPH P 59 WALL STREET NEW YORK NY 10005 1 0 0 1 See Footnote 4. Series A Covertible Preferred Stock 0 2003-06-19 4 P 0 90909 5.50 A Common Stock 90909 90909 I See Footnotes 3,4. 1-for1. Subject to adjustment in certain circumstances. The Series A Convertible Preferred Stock is immediately convertible and does not expire. By the 1818 Mezzanine Fund II, L.P. (the "1818 Fund"). The Reporting Person is a limited partner of BBH Mezzanine Management II, L.P. ("BBH II"), a special general partner of the 1818 Fund and, as such, his pecuniary interest in the securities is limited to his percentage interest in BBH II's interest in such securities. The Reporting Person directly and indirectly beneficially owns less than 10% of the outstanding Common Stock of the Issuer, but, pursuant to Rule 16a-1 under the Securities Exchange Act of 1934, as amended (the "Act"), may be deemed to be a more than 10% beneficial owner of such Common Stock because it may be deemed to be a member of a "group" that owns in excess of 10% of such outstanding Common Stock pursuant to Section 13(d)(3) under the Act. The Reporting Person disclaims any such group status. Pursuant to Rule 16a-1(a)(4) under the Act, this filing shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Act or otherwise, the beneficial owner of any equity securities of the Issuer owned by any other person. Joseph P. Dolan 2004-01-22 -----END PRIVACY-ENHANCED MESSAGE-----