-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Wcc/EhyMkDent+c/t/rULvVnPNP778/4AC4IbFIvieE006IfDV9i4ZUO8uJ69Trw tzaqYdxzduWljVx+qPI1kQ== 0001140361-10-000796.txt : 20100105 0001140361-10-000796.hdr.sgml : 20100105 20100105214551 ACCESSION NUMBER: 0001140361-10-000796 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100105 DATE AS OF CHANGE: 20100105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHERIFF W E CENTRAL INDEX KEY: 0001055491 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 10509726 MAIL ADDRESS: STREET 1: 111 WESTWOOD PL STREET 2: STE 402 CITY: BRENTWOOD STATE: TN ZIP: 37027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Brookdale Senior Living Inc. CENTRAL INDEX KEY: 0001332349 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 203068069 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: (615) 221-2250 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc1.xml FORM 4 X0303 4 2009-12-31 0 0001332349 Brookdale Senior Living Inc. BKD 0001055491 SHERIFF W E 111 WESTWOOD PLACE SUITE 200 BRENTWOOD TN 37027 0 1 0 0 Chief Executive Officer Common Stock 2009-12-31 4 D 0 69931 0 D 171621 I By Sheriff Financial, LLC Common Stock 2010-01-04 4 S 0 53234 18.5822 D 118387 I By Sheriff Financial, LLC Common Stock 29000 I By W.E. Sheriff Family Partnership Common Stock 900102 D Represents the forfeiture of certain restricted shares previously granted to the reporting person due to the failure to achieve performance goals established by the Compensation Committee. Represents the sale of shares to satisfy tax withholding obligations due upon the vesting of restricted stock previously granted to the reporting person. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the reporting person. This transaction was executed in multiple trades at prices ranging from $18.4797 to $18.80. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the staff of the Securities and Exchange Commission, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price. /s/ Chad C. White, By Power of Attorney 2010-01-05 -----END PRIVACY-ENHANCED MESSAGE-----