4//SEC Filing
Coliseum Capital Co-Invest, L.P. 4
Accession 0001209191-15-006248
CIK 0001220754other
Filed
Jan 22, 7:00 PM ET
Accepted
Jan 23, 5:08 PM ET
Size
26.7 KB
Accession
0001209191-15-006248
Insider Transaction Report
Form 4
Coliseum Capital Co-Invest, L.P.
Director10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying)
BLACKWELL PARTNERS LLC
10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote)
Coliseum Capital Partners II, L.P.
10% Owner
Transactions
- Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote) - Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying)
Coliseum Capital Management, LLC
10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote)
Gray Adam
Director10% Owner
Transactions
- Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying) - Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote)
Shackelton Christopher S
Director10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote)
Coliseum Capital, LLC
Director10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying)
COLISEUM CAPITAL PARTNERS L P
Director10% Owner
Transactions
- Exercise/Conversion
Common Stock
2015-01-21+4,167→ 2,226,468 total(indirect: See Footnote) - Exercise/Conversion
Phantom Stock
2015-01-21−4,167→ 0 total(indirect: See Footnote)From: 2015-01-21Exp: 2015-01-21→ Common Stock (4,167 underlying) - Disposition to Issuer
Common Stock
2015-01-21$37.31/sh−4,167$155,471→ 2,222,301 total(indirect: See Footnote)
Footnotes (1)
- [F1]See Joint Filer Information on Exhibit 99.1 for information with respect to the nature of Coliseum Capital Management, LLC's indirect ownership and details regarding the transactions reported herein and the nature of the beneficial ownership of the reporting persons.
Issuer
PROVIDENCE SERVICE CORP
CIK 0001220754
Entity typeother
IncorporatedDE
Related Parties
1- filerCIK 0001572285
Filing Metadata
- Form type
- 4
- Filed
- Jan 22, 7:00 PM ET
- Accepted
- Jan 23, 5:08 PM ET
- Size
- 26.7 KB