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