-----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, OayUWHVD2jAgV5t5RLCLqDVpny5Kjg3d5E8HwrB5GdFtQ2fzyOEA7PNxGqg2QCWH UnCttTWgskWxUjWW49oTfw== 0001243432-04-000002.txt : 20040712 0001243432-04-000002.hdr.sgml : 20040712 20040712135337 ACCESSION NUMBER: 0001243432-04-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WURTS PAULA C CENTRAL INDEX KEY: 0001243432 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22916 FILM NUMBER: 04909784 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 5 1 pw_form5ex.xml X0202 5 2004-06-30 0 0 0 0000915127 PHC INC /MA/ PIHC 0001243432 WURTS PAULA C PHC INC 200 LAKE ST STE 102 PEABODY MA 01960 0 1 0 0 Treas-Controller-Ast Clerk-CFO Class A Common Stock 2004-07-12 2004-07-12 5 J 0 63197 0 A 68738 D Total Options 0 2004-07-12 2004-07-12 5 J 0 0 0 D 2004-07-12 2004-07-12 Total Options 0 97667 D No conversion price Used dummy date as these shares are accumulative and have different dates Not applicable Paula C. Wurts 2004-07-12 -----END PRIVACY-ENHANCED MESSAGE-----