-----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, D2Rjv5ek4RZTfqq6PX1m1LHLPQnmRBTFXjrh3kpdGbu9GDfWF6dX1gCoQfdU9NcL U3FeVez/yq2H8b8og60bCQ== 0001181431-04-040440.txt : 20040816 0001181431-04-040440.hdr.sgml : 20040816 20040816202915 ACCESSION NUMBER: 0001181431-04-040440 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040812 FILED AS OF DATE: 20040816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRANT CHRISTOPHER JR CENTRAL INDEX KEY: 0001215553 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20488 FILM NUMBER: 04980450 MAIL ADDRESS: STREET 1: C/O SALIX MANAGEMENT CORP. STREET 2: 30 BURTON HILLS BLVD, SUITE 370 CITY: NASHVILLE STATE: TN ZIP: 37215 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 4 1 rrd50637.xml FORM 4 X0202 4 2004-08-12 0 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001215553 GRANT CHRISTOPHER JR C/O SALIX MANAGEMENT CORP. 30 BURTON HILLS BLVD., SUITE 370 NASHVILLE TN 37215 1 0 0 0 Common Stock 2004-08-12 4 C 0 13367 5.194 A 367610 I See Note 2 Common Stock 2004-08-12 4 C 0 633 5.194 A 17421 I See Note 3 Common Stock 2004-08-12 4 S 0 96 24.05 D 367514 I See Note 2 Common Stock 2004-08-12 4 S 0 1256 24.06 D 366258 I See Note 2 Common Stock 2004-08-12 4 S 0 4060 24.07 D 362198 I See Note 2 Common Stock 2004-08-12 4 S 0 3824 24.08 D 358375 I See Note 2 Common Stock 2004-08-12 4 S 0 3076 24.09 D 355298 I See Note 2 Common Stock 2004-08-12 4 S 0 1055 24.10 D 354243 I See Note 2 Common Stock 2004-08-12 4 S 0 4 24.05 D 17417 I See Note 3 Common Stock 2004-08-12 4 S 0 59 24.06 D 17358 I See Note 3 Common Stock 2004-08-12 4 S 0 179 24.07 D 17179 I See Note 3 Common Stock 2004-08-12 4 S 0 188 24.08 D 16991 I See Note 3 Common Stock 2004-08-12 4 S 0 151 24.09 D 16840 I See Note 3 Common Stock 2004-08-12 4 S 0 52 24.10 D 16788 I See Note 3 Common Stock 2004-08-13 4 C 0 2351 5.194 A 354293 I See Note 2 Common Stock 2004-08-13 4 C 0 111 5.194 A 16790 I See Note 3 Common Stock 2004-08-13 4 S 0 1873 24.06 D 352420 I See Note 2 Common Stock 2004-08-13 4 S 0 98 24.08 D 352322 I See Note 2 Common Stock 2004-08-13 4 S 0 380 24.10 D 351942 I See Note 2 Common Stock 2004-08-13 4 S 0 86 24.06 D 16704 I See Note 3 Common Stock 2004-08-13 4 S 0 5 24.08 D 16699 I See Note 3 Common Stock 2004-08-13 4 S 0 20 24.10 D 16679 I See Note 3 Series A Convertible Preferred Stock 5.194 2004-08-12 4 C 0 12624 D 2003-06-19 2020-12-31 Common Stock 13367 0 I See Note 2 Series A Convertible Preferred Stock 5.194 2004-08-12 4 C 0 598 D 2003-06-19 2020-12-31 Common Stock 633 0 I See Note 3 Series A Convertible Preferred Stock 5.194 2004-08-13 4 C 0 2220 D 2003-06-19 2020-12-31 Common Stock 2351 0 I See Note 2 Series A Convertible Preferred Stock 5.194 2004-08-13 4 C 0 105 D 2003-06-19 2020-12-31 Common Stock 111 0 I See Note 3 Series A Convertible Preferred Stock 5.194 2003-06-19 2020-12-31 Common Stock 351942 332339 I See Note 2 Series A Convertible Preferred Stock 5.194 2003-06-19 2020-12-31 Common Stock 16679 15750 I See Note 3 Represents the number of shares issued to such Reporting Person upon conversion of shares of Series A Preferred Stock held by such Reporting Person as reported in Table II. The conversion price for these shares of Series A Preferred Stock was approximately $5.194 per share. Each of these shares of Series A Preferred Stock was converted into approximately 1.059 shares of Common Stock on August 12, 2004 or August 13, 2004, as designated in Table I item 2. Represents shares held by Salix Ventures II, L.P. Represents shares held by Salix Affiliates II, L.P. The initial conversion price of the Series A Preferred Stock was $5.50, which has since been adjusted downward. As of August 13, 2004, each share of Series A Preferred Stock was convertible into approximately 1.059 shares of Common Stock. The conversion price remains subject to further adjustment pursuant to the terms of the Series A Convertible Preferred Stock. The conversion feature continues indefinitely. The Series A Preferred shares are immediately convertible. As the transaction involves the conversion of a derivative security, no information is required to be included in Column 8 of Table II, in accordance with general instruction 4(c)(iii). /s/ Robert D. Ivy, as attorney-in-fact for Christopher Grant, Jr. 2004-08-16 -----END PRIVACY-ENHANCED MESSAGE-----