FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 12/20/2011 |
3. Issuer Name and Ticker or Trading Symbol
Acadia Healthcare Company, Inc. [ ACHC ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common stock, par value $0.01 per share | 33,333 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
Remarks: |
The reporting person is a member of a "group" with (i) Waud Capital Partners II, L.L.C. ("WCP II LLC"); (ii) Waud Capital Partners Management II, L.P. ("WCPM II"); (iii) Waud Capital Partners II, L.P. ("WCP II"); (iv) Waud Capital Partners QP II, L.P. ("WCP QP II"); (v) WCP FIF II (Acadia), L.P. ("WCP FIF II"); (vi) Waud Capital Affiliates II, L.L.C. ("Waud Affiliates II"); (vii) the Reeve B. Waud 2011 Family Trust; (viii) Waud Family Partners, L.P. ("WFP LP"); (ix) Waud Capital Partners III, L.L.C. ("WCP III LLC"); (x) Waud Capital Partners Management III, L.P. ("WCPM III"); (xi) Waud Capital Partners III, L.P. ("WCP III"); (xii) Waud Capital Partners QP III, L.P. ("WCP QP III"); (xiii) WCP FIF III (Acadia), L.P. ("WCP FIF III"); (xiv) Waud Capital Affiliates III, L.L.C. ("Waud Affiliates III"); and (xv) Reeve B. Waud. WCPM II is the general partner of WCP II, WCP QP II, WCP FIF II and the Manager of Waud Affiliates II. WCP II LLC is the general partner of WCPM II. WCPM III is the general partner of WCP FIF III, WCP QP III and WCP III and the Manager of Waud Affiliates III. WCP III LLC is the general partner of WCPM III. Mr. Waud, Ms. Waud's husband, is (A) a member of the Limited Partner Committee of each of WCPM II and WCPM III, (B) the manager of WCP II LLC and WCP III LLC, (C) the investment advisor of the Reeve B. Waud 2011 Family Trust and (D) the general partner of WFP LP. The Form 3's for such other entities are filed separately. |
/s/ Melissa W. Waud | 07/17/2013 | |
** 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 5 (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. |