0001125376-19-000013.txt : 20190117 0001125376-19-000013.hdr.sgml : 20190117 20190117191509 ACCESSION NUMBER: 0001125376-19-000013 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181128 FILED AS OF DATE: 20190117 DATE AS OF CHANGE: 20190117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blouin Ann Scott CENTRAL INDEX KEY: 0001764784 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33757 FILM NUMBER: 19531879 MAIL ADDRESS: STREET 1: 27101 PUERTA REAL STREET 2: SUITE 450 CITY: MISSION VIEJO STATE: CA ZIP: 92691 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ENSIGN GROUP, INC CENTRAL INDEX KEY: 0001125376 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 330861263 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 27101 PUERTA REAL, SUITE 450 CITY: MISSION VIEJO STATE: CA ZIP: 92691 BUSINESS PHONE: (949) 487-9500 MAIL ADDRESS: STREET 1: 27101 PUERTA REAL, SUITE 450 CITY: MISSION VIEJO STATE: CA ZIP: 92691 FORMER COMPANY: FORMER CONFORMED NAME: ENSIGN GROUP INC DATE OF NAME CHANGE: 20000930 3 1 wf-form3_154777049299704.xml FORM 3 X0206 3 2018-11-28 0 0001125376 ENSIGN GROUP, INC ENSG 0001764784 Blouin Ann Scott 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 1 0 0 0 Common Stock 0 D /s/ Chad A. Keetch, as power of attorney 2019-01-17