0001140361-11-051668.txt : 20111103
0001140361-11-051668.hdr.sgml : 20111103
20111103165827
ACCESSION NUMBER: 0001140361-11-051668
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111101
FILED AS OF DATE: 20111103
DATE AS OF CHANGE: 20111103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PHILLIPS HOWARD
CENTRAL INDEX KEY: 0001249248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33323
FILM NUMBER: 111178363
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
doc1.xml
FORM 4
X0304
4
2011-11-01
1
0000915127
PHC INC /MA/
PHC, INC.
0001249248
PHILLIPS HOWARD
500 S. PALM ROAD, PHT
SARASOTA
FL
34236
1
0
0
0
Class A Common Stock
2011-11-01
4
U
0
153750
D
0
D
Stock Options
3.18
2011-11-01
4
U
0
20000
D
2012-01-03
Common Stock
20000
0
D
Stock Options
2.83
2011-11-01
4
U
0
7500
D
2012-11-21
Common Stock
7500
0
D
Stock Options
2.84
2011-11-01
4
U
0
20000
D
2012-12-21
Common Stock
20000
0
D
Stock Options
1.5
2011-11-01
4
U
0
20000
D
2013-12-18
Common Stock
20000
0
D
Stock Options
1.2
2011-11-01
4
U
0
10000
D
2014-06-15
Common Stock
10000
0
D
Stock Options
1.08
2011-11-01
4
U
0
30000
D
2014-12-14
Common Stock
30000
0
D
Stock Options
1.65
2011-11-01
4
U
0
20000
D
2020-12-16
Common Stock
20000
0
D
Disposed of pursuant to merger agreement between issuer and Acadia Healthcare, Inc. ("Acadia")in which each share of Class A common stock was exchanged for 0.25 of a share of Acadia common stock on the effective date of the merger.
These options were cancelled in the merger in exchange for similar options for 1/4th the number of shares of Acadia common stock and with an exercise price 4 times the exercise price of these options on the effective date of the merger.
All options vested upon the effective date of the merger.
/s/ Janet Esterkes by Power of Attorney
2011-11-02