SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DODD FRED THOMAS JR

(Last) (First) (Middle)
ACADIA HEALTHCARE COMPANY, INC.
6100 TOWER CIRCLE, SUITE 1000

(Street)
FRANKLIN TN 37067

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Acadia Healthcare Company, Inc. [ ACHC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
10/30/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/30/2014 M 812 A $15.96 82,147 D
Common Stock 10/30/2014 M 1,000 A $29.39 83,147 D
Common Stock 10/30/2014 F 1,015 D $59.08 82,132 D
Common Stock 02/27/2015 M 700 A $50.75 82,832 D
Common Stock 02/27/2015 F 600 D $63.13 82,232 D
Common Stock 05/08/2015 M 812 A $15.96 83,044 D
Common Stock 05/08/2015 M 1,000 A $29.39 84,044 D
Common Stock 05/08/2015 F 941 D $68.64 83,103 D
Common Stock 11/05/2014 S 132 D $60.33 82,971 D
Common Stock 11/05/2014 S 1,800 D $60.35 81,171 D
Common Stock 03/17/2015 S 682 D $70.81 80,489 D
Common Stock 05/15/2015 S 871 D $68.46 79,618 D
Common Stock 08/14/2015 S 7,091 D $80.47 72,527 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $15.96 10/30/2014 M 812 03/19/2013(1) 03/19/2022 Common Stock 812 $0.00 814 D
Stock Option $29.39 10/30/2014 M 1,000 03/29/2014(2) 03/29/2023 Common Stock 1,000 $0.00 2,000 D
Stock Option $50.75 02/27/2015 M 700 02/27/2015(3) 02/27/2024 Common Stock 700 $0.00 2,100 D
Stock Option $15.96 05/08/2015 M 812 03/19/2013(1) 03/19/2022 Common Stock 812 $0.00 814 D
Stock Option $29.39 05/08/2015 M 1,000 03/29/2014(2) 03/29/2023 Common Stock 1,000 $0.00 2,000 D
Explanation of Responses:
1. The options vest over a 4-year period in equal annual installments beginning March 19, 2013.
2. The options vest over a 4-year period in equal annual installments beginning March 29, 2014.
3. The options vest over a 4-year period in equal annual installments beginning February 27, 2015.
Remarks:
The reporting person is party to a stockholders agreement with Acadia Healthcare Company, Inc. ("Acadia") and certain other stockholders. As a result, he may be deemed to be a part of a "group" with such ther stockholders. To the extent the reporting person is deemed a member of a group, he disclaims beneficial ownership of shares owned by other members of the group.
/s/ Christopher L. Howard as Attorney in Fact for Fred Thomas Dodd, Jr. 08/18/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.