0001140361-11-051681.txt : 20111103 0001140361-11-051681.hdr.sgml : 20111103 20111103170535 ACCESSION NUMBER: 0001140361-11-051681 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: WURTS PAULA C CENTRAL INDEX KEY: 0001243432 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33323 FILM NUMBER: 111178457 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 0001243432 WURTS PAULA C 7 ALEXANDRA STREET PEABODY MA 01960 0 1 0 0 TREASURER and CLERK Class A Common Stock 2011-11-01 4 U 0 156840 D 0 D Stock Options 2.95 2011-11-01 4 U 0 7500 D 2012-10-14 Common Stock 7500 0 D Stock Options 2.90 2011-11-01 4 U 0 10000 D 2012-11-14 Common Stock 10000 0 D Stock Options 2.75 2011-11-01 4 U 0 10000 D 2013-02-18 Common Stock 10000 0 D Stock Options 1.25 2011-11-01 4 U 0 15000 D 2013-11-28 Common Stock 15000 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 25000 D 2014-12-14 Common Stock 25000 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 timese the exercies price of these options on the effective date of the merger. Fully vested. 7,500 fully vested, remaining 2,500 vest 06/14/2012. 12,500 fully vested, 6,250 vest 12/14/2011 and 6,250 vest 12/14/2012. /s/ Paula C. Wurts 2011-11-02