0001209191-13-018428.txt : 20130326
0001209191-13-018428.hdr.sgml : 20130326
20130326162138
ACCESSION NUMBER: 0001209191-13-018428
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130322
FILED AS OF DATE: 20130326
DATE AS OF CHANGE: 20130326
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BRICKMAN DAVID R
CENTRAL INDEX KEY: 0001257152
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 13717117
MAIL ADDRESS:
STREET 1: 14160 DALLAS PARWAY
STREET 2: STE 300
CITY: DALLAS
STATE: TX
ZIP: 75254
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CAPITAL SENIOR LIVING CORP
CENTRAL INDEX KEY: 0001043000
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
IRS NUMBER: 752678809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14160 DALLAS PARKWAY
STREET 2: SUITE 300
CITY: DALLAS
STATE: TX
ZIP: 75254
BUSINESS PHONE: 9727705600
MAIL ADDRESS:
STREET 1: 14160 DALLAS PARKWAY
STREET 2: SUITE 300
CITY: DALLAS
STATE: TX
ZIP: 75254
4
1
c508944_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0306
4
2013-03-22
0001043000
CAPITAL SENIOR LIVING CORP
CSU
0001257152
BRICKMAN DAVID R
14160 DALLAS PARKWAY
SUITE 300
DALLAS
TX
75254
0
1
0
0
SVP Gen. Counsel & Secretary
Common Stock
2013-03-22
4
M
0
41120
6.3
A
155755
D
Common Stock
2013-03-22
4
S
0
41120
25.63
D
114635
D
Common Stock Option (right to purchase)
6.3
2013-03-22
4
M
0
41120
D
2013-12-03
Common Stock
41120
0
D
The total number of shares reported corrects a de minimis error in the reporting person's previous Form 4 filed on March 8, 2013 (the "Prior 4 Form"). The Prior Form 4 reported the forfeiture of 386 shares of performance-based restricted stock when in actuality 390 shares of performance-based restricted stock were forfeited.
A portion of the sale proceeds will be used by the reporting person to satisfy tax liabilities. As indicated in the above table, the options were scheduled to expire on December 3, 2013 if not exercised prior to such date.
The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $25.550 to $25.955, inclusive. The reporting person undertakes to provide Capital Senior Living Corporation, any stockholder of Capital Senior Living Corporation, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.
The options vested in three installments of 33%, 33% and 34% on December 4, 2004, December 4, 2005 and December 4, 2006, respectively.
Granted on December 4, 2003 pursuant to the Capital Senior Living Corporation 1997 Omnibus Stock Incentive Plan.
/s/ David R. Brickman
2013-03-25