Filing Details

Accession Number:
0001209191-12-042770
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-08-21 17:59:36
Reporting Period:
2012-08-17
Filing Date:
2012-08-21
Accepted Time:
2012-08-21 17:59:36
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1220754 Providence Service Corp PRSC Services-Social Services (8300) 860845127
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1409751 Coliseum Capital Management, Llc Metro Center
1 Station Place, 7Th Floor South
Stamford CT 06902
Yes No Yes No
1430708 S Christopher Shackelton Metro Center
1 Station Place, 7Th Floor South
Stamford CT 06902
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-08-17 12,099 $11.80 1,886,787 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
Footnotes
  1. These securities are held directly by (a) Coliseum Capital Partners, L.P., an investment limited partnership of which Coliseum Capital, LLC, a Delaware limited liability company ('CC'), is general partner and for which Coliseum Capital Management, LLC, a Delaware limited liability company ('CCM'), serves as investment adviser, and (b) Blackwell Partners, LLC ('Blackwell'), a separate account investment advisory client of CCM. Christopher Shackelton and Adam Gray manage CCM and CC. Each of Christopher Shackelton, Adam Gray, Blackwell, CCP, CC and CCM disclaim beneficial ownership of these securities except to the extent of that person's pecuniary interest therein. Christopher Shackelton is a member of the board of directors of The Providence Service Corporation.
  2. This transaction was executed in multiple trades at prices ranging from $11.74 to $11.81. The reported price reflects the weighted average purchase price. The Reporting Person filing this report hereby undertakes to provide upon request by the SEC staff, The Providence Service Corporation or a shareholder of The Providence Service Corporation full information regarding the number of shares purchased at each separate price.