-----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, By+bz/+NrpZkks4FJPQim+fSVO6uX+WF39k9qqUu5PFIgKZs3+U0fuNMnGQRa+oA Vj+R1JWc7lnBiw9omk6Y/A== 0001181431-04-040792.txt : 20040818 0001181431-04-040792.hdr.sgml : 20040818 20040818183756 ACCESSION NUMBER: 0001181431-04-040792 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040816 FILED AS OF DATE: 20040818 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: 04985005 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 rrd50867.xml FORM 4 X0202 4 2004-08-16 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 2004-08-16 4 C 0 6683 5.192 A 352039 I See Footnote Common Stock 2004-08-16 4 C 0 317 5.192 A 16684 I See Footnote Common Stock 2004-08-16 4 S 0 3259 24.06 D 348780 I See Footnote Common Stock 2004-08-16 4 S 0 286 24.07 D 348494 I See Footnote Common Stock 2004-08-16 4 S 0 3138 24.08 D 345356 I See Footnote Common Stock 2004-08-16 4 S 0 159 24.06 D 16525 I See Footnote Common Stock 2004-08-16 4 S 0 14 24.07 D 16511 I See Footnote Common Stock 2004-08-16 4 S 0 144 24.08 D 16367 I See Footnote Series A Convertible Preferred Stock 5.194 2004-08-16 4 C 0 6309 0 D 2003-06-19 2020-12-31 Common Stock 6683 0 I See Footnote Series A Convertible Preferred Stock 5.194 2004-08-16 4 C 0 299 0 D 2003-06-19 2020-12-31 Common Stock 317 0 I See Footnote Series A Convertible Preferred Stock 5.194 2004-08-13 4 C 0 0 0 D 2003-06-19 2020-12-31 Common Stock 345356 326030 I See Footnote Series A Convertible Preferred Stock 5.194 2004-08-13 4 C 0 0 0 D 2003-06-19 2020-12-31 Common Stock 16367 15451 I See Footnote 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 $5.192 per share. Each of these shares of Series A Preferred Stock was converted into approximately 1.059 shares of Common Stock on August 16, 2004. 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 16, 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. /s/ Robert D. Ivy, as attorney-in-fact for Christopher Grant, Jr. 2004-08-18 -----END PRIVACY-ENHANCED MESSAGE-----