13D Filing: Coliseum Capital and Providence Service Corp (PRSC)

Page 6 of 12

Page 6 of 12 – SEC Filing


CUSIP No. 743815102 (Common Stock)

  1.

Names of
Reporting Persons.

Coliseum Capital Co-Invest, L.P.

  2.

Check the Appropriate Box if a Member
of a Group (See Instructions)

(a)  ☐        (b)  ☒

  3.

SEC Use Only

  4.

Source of Funds (See Instructions)

WC

  5.

Check if Disclosure of Legal
Proceedings Is Required Pursuant to Items 2(d) or 2(e)

  6.

Citizenship or Place of
Organization

Delaware

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With

  7.

Sole Voting Power

0

  8.

Shared Voting Power

524,149 (1)

  9.

Sole Dispositive Power

0

10.

Shared Dispositive Power

524,149 (1)

11.

Aggregate Amount Beneficially Owned by Each Reporting Person

524,149 (1)

12.

Check if the Aggregate Amount in Row
(11) Excludes Certain Shares (See Instructions)

13.

Percent of Class Represented by Amount
in Row (11)

3.8%(1)

14.

Type of Reporting Person (See
Instructions)

PN

(1) Consists of shares of Common Stock that could be obtained upon the conversion shares of shares of Series A Preferred Stock beneficially owned by the Reporting Person.

Follow Modivcare Inc (NASDAQ:MODV)

Page 6 of 12