-----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, G01MkeiV5zIEC58gBqch3RjCcnIJyJitzgZDKHYIL9N8sjSTrZWmd+ojxbnC/wTm a+towFpacDuvppHlHVJqpQ== 0001209191-04-018961.txt : 20040402 0001209191-04-018961.hdr.sgml : 20040402 20040402161824 ACCESSION NUMBER: 0001209191-04-018961 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040331 FILED AS OF DATE: 20040402 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: JACOBS JOEY A CENTRAL INDEX KEY: 0001243878 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20488 FILM NUMBER: 04714223 MAIL ADDRESS: STREET 1: 113 SEABOARD LANE STREET 2: STE C 100 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 bna88282_jj.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-03-31 0 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001243878 JACOBS JOEY A 113 SEABOARD LANE, SUITE C-100 FRANKLIN TN 37067 1 1 0 0 Chairman, President and CEO Common Stock 2004-03-31 4 J 0 320 0.00 A 143095 D Common Stock 4321 I See Note 2 On 3/31/2004, Salix Affiliates II, L.P., of which Mr. Jacobs is a limited partner, made an in-kind pro-rata distribution of shares of Psychiatric Solutions, Inc. 's Common Stock to its limited partners. These shares are owned by Scott D. Jacobs, Mr. Jacobs' son. Mr. Jacobs disclaims beneficial ownership of the shares held by Scott D. Jacobs. /s/ Chris Minar, Attorney-In-Fact 2004-04-02 -----END PRIVACY-ENHANCED MESSAGE-----