-----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, Mvh/BpDm9kQdDGKZAFaW7AMLVapSZBli4MBpRJkMTkSHQlqbg4AF+TNYhDuEoLPF U+bJC0/px+QGAvb97y616Q== 0001225208-10-025170.txt : 20101117 0001225208-10-025170.hdr.sgml : 20101117 20101117174438 ACCESSION NUMBER: 0001225208-10-025170 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101115 FILED AS OF DATE: 20101117 DATE AS OF CHANGE: 20101117 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: 101200740 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: 1231 BUSINESS ADDRESS: STREET 1: 6640 CAROTHERS PARKWAY STREET 2: SUITE 500 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-312-5700 MAIL ADDRESS: STREET 1: 6640 CAROTHERS PARKWAY STREET 2: SUITE 500 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 doc4.xml X0303 4 2010-11-15 1 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001243878 JACOBS JOEY A 6640 CAROTHERS PARKWAY SUITE 500 FRANKLIN TN 37067 1 1 Chairman, President & CEO Common Stock 2010-09-10 5 G 0 60000.0000 0.0000 D 449016.0000 D Common Stock 2010-11-15 4 D 0 449016.0000 33.7500 D 0.0000 D Common Stock 2010-11-15 4 D 0 126596.0000 33.7500 D 0.0000 I by GRAT Option (Right to Buy) 32.9900 2010-11-15 4 D 0 456839.0000 0.7600 D 2016-02-23 Common Stock 456839.0000 0.0000 D Option (Right to Buy) 29.0000 2010-11-15 4 D 0 125000.0000 4.7500 D 2018-02-25 Common Stock 125000.0000 0.0000 D Option (Right to Buy) 21.0000 2010-11-15 4 D 0 270000.0000 12.7500 D 2020-02-26 Common Stock 270000.0000 0.0000 D Option (Right to Buy) 16.9400 2010-11-15 4 D 0 50000.0000 16.8100 D 2019-02-28 Common Stock 50000.0000 0.0000 D Option (Right to Buy) 10.2250 2010-11-15 4 D 0 134000.0000 23.5250 D 2014-03-12 Common Stock 134000.0000 0.0000 D Option (Right to Buy) 20.6900 2010-11-15 4 D 0 169802.0000 13.0600 D 2015-03-17 Common Stock 169802.0000 0.0000 D Option (Right to Buy) 3.2750 2010-11-15 4 D 0 184092.0000 30.4750 D 2013-03-25 Common Stock 184092.0000 0.0000 D Option (Right to Buy) 19.3100 2010-11-15 4 D 0 98198.0000 14.4400 D 2015-05-17 Common Stock 98198.0000 0.0000 D Option (Right to Buy) 6.8750 2010-11-15 4 D 0 200000.0000 26.8750 D 2013-10-30 Common Stock 200000.0000 0.0000 D Pursuant to the Agreement and Plan of Merger among Universal Health Services, Inc., Olympus Acquisition Corp. and Psychiatric Solutions, Inc., dated as of May 16, 2010 (the "Merger Agreement"), the shares were disposed of in exchange for the merger consideration of $33.75 per share. Pursuant to the Merger Agreement, each outstanding and unexercised option to purchase Common Stock, whether or not vested or exercisable, became fully vested and exercisable as of the effective time of the merger and was cancelled in exchange for a cash payment equal to the difference between the exercise price of the option and the merger consideration of $33.75 per share. /s/ Chris Minar, Attorney-in-Fact 2010-11-17 -----END PRIVACY-ENHANCED MESSAGE-----