-----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, PTXYrYRwkxw5nhjGAsjO9LG+OQT08V//PsEqurWhH0A2+5k7KNZ7sbf3Zrm4DIHR Q2jVx+jAnlmokBXyWkvUvg== 0001243435-04-000002.txt : 20040712 0001243435-04-000002.hdr.sgml : 20040712 20040712134814 ACCESSION NUMBER: 0001243435-04-000002 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: ROBAR DONALD E CENTRAL INDEX KEY: 0001243435 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22916 FILM NUMBER: 04909769 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 dr_form5ex.xml X0202 5 2004-06-30 0 0 0 0000915127 PHC INC /MA/ PIHC 0001243435 ROBAR DONALD E PHC INC 200 LAKE ST STE 102 PEABODY MA 01960 1 0 0 0 Class A Common Stock 2004-07-12 2004-07-12 5 J 0 0 0 A 42227 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 90500 D No conversion price Used dummy dates as these shares are accumulative and have different dates Not applicable Donald E. Robar 2004-07-12 -----END PRIVACY-ENHANCED MESSAGE-----