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Filing Details

Accession Number:: 0001209191-12-054828
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2012-11-28 17:15:22
Reporting Period:: 2012-11-26

Filing Date:: 2012-11-28
Accepted Time:: 2012-11-28 17:15:22
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

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2012-11-26	109,600	$12.59	2,210,156	No	4	P	Indirect	See Footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	See Footnote

Footnotes

These securities are held directly by (a) Coliseum Capital Partners, L.P., an investment limited partnership ("CCP"), 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) Coliseum Capital Partners II, L.P., an investment limited partnership ("CCP2"), of which CC is general partner and for which CCM serves as investment adviser. Each of Christopher Shackelton, Adam Gray, CCP, CCP2, CC and CCM disclaim beneficial ownership of these securities except to the extent of that person's pecuniary interest therein. Christopher Shackelton is the Chairman of the board of directors of The Providence Service Corporation.
This transaction was executed in multiple trades at prices ranging from $12.55 to $12.60. 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.
These securities are held directly by CCP, CCP2 and Blackwell Partners, LLC ("Blackwell"), a separate account investment advisory client of CCM. Each of Christopher Shackelton, Adam Gray, CCP, CCP2, Blackwell, CC and CCM disclaims beneficial ownership of these securities except to the extent of that person's pecuniary interest therein.