-----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, NPrP/au96oGkGePC6Lh2Sf37IOoAudbxf85YdkiYCEa0c+/0lT9TEk32DJIjjGKA Z+un8Y3sOcDmQV9+ylLNRw== 0000915127-04-000008.txt : 20040105 0000915127-04-000008.hdr.sgml : 20040105 20040105152852 ACCESSION NUMBER: 0000915127-04-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WURTS PAULA C CENTRAL INDEX KEY: 0001243432 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22916 FILM NUMBER: 04504487 BUSINESS ADDRESS: STREET 1: PHC INC STREET 2: 200 LAKE ST STE 102 CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 7815951607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PHC INC /MA/ CENTRAL INDEX KEY: 0000915127 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 042601571 STATE OF INCORPORATION: MA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 200 LAKE ST STE 102 CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 9785362777 MAIL ADDRESS: STREET 1: 200 LAKE ST STREET 2: STE 102 CITY: PEABODY STATE: MA ZIP: 01960 4 1 pw_form4ex.xml X0201 4 2003-12-31 0 0000915127 PHC INC /MA/ PIHC 0001243432 WURTS PAULA C PHC INC 200 LAKE ST STE 102 PEABODY MA 01960 0 1 0 0 Ass't Clerk CFO Class A Common Stock 2003-12-31 2003-12-31 4 D 0 0 0 D 63197 D Class A Common Stock 2003-12-31 2003-12-31 4 D 0 3750 .25 A 66947 D Stock Option (Right to Buy) 0 2003-12-31 2003-12-31 4 D 0 0 0 D 2003-12-31 2003-12-31 Stock Option (Right to Buy) 0 102667 D Exercise .25 2003-12-31 2003-12-31 4 D 0 0 1.00 D 2003-12-31 2003-12-31 Exercise 5000 0 D Total Options Held after Exercise 0 2003-12-31 2003-12-31 4 D 0 0 0 D 2003-12-31 2003-12-31 Total Options Held after Exercise 0 97667 D No conversion price Used dummy dates as these shares are accumulative and have different dates Not applicable Paula C. Wurts 2003-12-31 -----END PRIVACY-ENHANCED MESSAGE-----