0001632970-18-000211.txt : 20181226 0001632970-18-000211.hdr.sgml : 20181226 20181226132735 ACCESSION NUMBER: 0001632970-18-000211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181221 FILED AS OF DATE: 20181226 DATE AS OF CHANGE: 20181226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEAY BRIAN CENTRAL INDEX KEY: 0001185675 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55775 FILM NUMBER: 181252208 MAIL ADDRESS: STREET 1: 18191 VON KARMAN AVENUE #300 CITY: IRVINE STATE: CA ZIP: 92612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc. CENTRAL INDEX KEY: 0001632970 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 472887436 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18191 VON KARMAN AVENUE STREET 2: SUITE 300 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 949-270-9200 MAIL ADDRESS: STREET 1: 18191 VON KARMAN AVENUE STREET 2: SUITE 300 CITY: IRVINE STATE: CA ZIP: 92612 FORMER COMPANY: FORMER CONFORMED NAME: Griffin-American Healthcare REIT 4, Inc. DATE OF NAME CHANGE: 20150428 FORMER COMPANY: FORMER CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc. DATE OF NAME CHANGE: 20150205 4 1 wf-form4_154584883782246.xml FORM 4 X0306 4 2018-12-21 0 0001632970 Griffin-American Healthcare REIT IV, Inc. NONE 0001185675 PEAY BRIAN C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV, INC., 18191 VON KARMAN AVE., STE. 300 IRVINE CA 92612 0 1 0 0 Chief Financial Officer Class I Common Stock 2018-12-21 4 P 0 97 9.65 A 3143 I By Brian and Kristen Peay 2007 Trust DTD 06/26/2007 The reported shares of Class I common stock were acquired at $9.65 per share by Mr. Peay pursuant to an Executive Stock Purchase Plan between Mr. Peay and the Issuer, entered into on 12/31/2017. The reported shares of Class I common stock are held directly by Brian and Kristen Peay 2007 Trust DTD 06/26/2007, and indirectly by Mr. Peay and Kristen Peay, Trustees. /s/ BRIAN S. PEAY 2018-12-26