-----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, UwskvDK1KvH66UJuTzZ4lGd6lluOLhHcHVLtu3l+Qn40Ox0zFiQ6yWroJcZQbC41 xRua23b+oVzgxYUXedOxkg== 0001209191-04-010406.txt : 20040217 0001209191-04-010406.hdr.sgml : 20040216 20040217123646 ACCESSION NUMBER: 0001209191-04-010406 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SALBERG JACK R CENTRAL INDEX KEY: 0001243880 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20488 FILM NUMBER: 04605983 MAIL ADDRESS: STREET 1: 113 SEABOARD LANE STREET 2: STE C 100 CITY: FRANKLIN STATE: TN ZIP: 37067 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 5 1 bna87283_js.xml MAIN DOCUMENT DESCRIPTION X0201 5 2003-12-31 0 0 1 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001243880 SALBERG JACK R 113 SEABOARD LANE, SUITE C-100 FRANKLIN TN 37067 0 1 0 0 Chief Operating Officer Option (Right to Buy) 13.75 2003-10-30 4 A 0 L 50000 0.00 A 2004-10-30 2013-10-30 Common Stock 50000 50000 D The options vest in four equal installments on October 30, 2004, October 30, 2005, October 30, 2006 and October 30, 2007. /s/ Chris Minar, Attorney-In-Fact 2004-02-17 -----END PRIVACY-ENHANCED MESSAGE-----