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

Names of
Reporting Persons.

Adam Gray

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

(a)  ☐        (b)  ☒

SEC Use Only

Source of Funds (See Instructions)

AF

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

☐

Citizenship or Place of
Organization

United States

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With

Sole Voting Power

0

Shared Voting Power

3,574,300 (1)

Sole Dispositive Power

0

Shared Dispositive Power

3,574,300 (1)

Aggregate Amount Beneficially Owned by Each Reporting Person

3,574,300 (1)

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

☐

Percent of Class Represented by Amount
in Row (11)

25.6%(1)

Type of Reporting Person (See
Instructions)

IN