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Eos Capital Partners III LP, et al. – ‘5’ for 12/31/17 re: Addus HomeCare Corp.

On:  Wednesday, 2/14/18, at 2:13pm ET   ·   For:  12/31/17   ·   Accession #:  899243-18-3828   ·   File #:  1-34504

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/14/18  Eos Capital Partners III LP       5                      2:13K  Addus HomeCare Corp.              Donnelley Fin’l S… 06/FA
          Eos Partners SBIC III, L.P.
          ECP General III, L.P.
          Ecp Helios Partners III, L.P.

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 5   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 5           Form 5 Submission -- doc5.xml/3.6                   HTML      3K 
 2: EX-24       EX-24 Document                                      HTML      9K

‘5’   —   Form 5 Submission — doc5.xml/3.6



        

This ‘5’ Document is an XML Data File that may be rendered in various formats:

  Form 5    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
SEC Info℠ rendering:  Form 5 Submission
 
FORM 5UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0362
Estimated average burden
hours per response:1.0
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Eos Capital Partners III L P
(Last)(First)(Middle)
437 MADISON AVE
(Street)
NEW YORKNY10022
(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
Addus HomeCare Corp [ ADUS ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/17
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount(A) or (D)Price
Common Stock 3,736,371 (1)D (2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
1. Name and Address of Reporting Person*
Eos Capital Partners III L P
(Last)(First)(Middle)
437 MADISON AVE
(Street)
NEW YORKNY10022
(City)(State)(Zip)
1. Name and Address of Reporting Person*
ECP HELIOS PARTNERS III, L.P.
(Last)(First)(Middle)
437 MADISON AVE
(Street)
NEW YORKNY10022
(City)(State)(Zip)
1. Name and Address of Reporting Person*
ECP General III, L.P.
(Last)(First)(Middle)
437 MADISON AVE
(Street)
NEW YORKNY10022
(City)(State)(Zip)
1. Name and Address of Reporting Person*
Eos Partners SBIC III, L.P.
(Last)(First)(Middle)
437 MADISON AVE
(Street)
NEW YORKNY10022
(City)(State)(Zip)
Explanation of Responses:
(1)  2,902,835 shares reported on this line were previously held by Eos Capital Partners III, L.P. ("ECP III"). Of such shares, (i) 993,379 shares were transferred to ECP Helios Partners III, L.P. ("Helios III") in a transaction exempt from Section 16 reporting pursuant to Rule 16a-13; (ii) 884,723 shares were transferred to ECP General III, L.P. ("General III") in a transaction exempt from Section 16 reporting pursuant to Rule 16a-13 and (iii) 1,024,733 shares continue to be held by Eos Capital Partners III, L.P. 833,536 shares reported on this line are held by Eos Partners SBIC III, L.P. ("SBIC III").
(2)  Represents shares of common stock held by ECP III, shares of common stock held by Helios III, shares of common stock held by General III and shares of common stock held by SBIC III. ECP III, LLC is the general partner of General III, the general partner of ECP III and Helios III. Eos General, L.L.C. is the general partner of Eos Partners, L.P., which is the sole member of Eos SBIC General III, L.L.C., the general partner of SBIC III. Because each of these funds are ultimately under common management that shares the power to direct the voting and disposition of the shares, each of these entities may be deemed to share beneficial ownership of the shares owned by the others. Each of these entities disclaims this beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the shares for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein.
Remarks:
EOS CAPITAL PARTNERS III, L.P., ECP HELIOS PARTNERS III, L.P., ECP GENERAL III, L.P., EOS PARTNERS SBIC III, L.P., By: Beth Bernstein, Its: Attorney-in-Fact, /s/ Beth Bernstein 2/14/18
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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