0001140361-12-000867.txt : 20120104
0001140361-12-000867.hdr.sgml : 20120104
20120104170250
ACCESSION NUMBER: 0001140361-12-000867
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120101
FILED AS OF DATE: 20120104
DATE AS OF CHANGE: 20120104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEEDS JEFFREY R
CENTRAL INDEX KEY: 0001242323
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32641
FILM NUMBER: 12507114
MAIL ADDRESS:
STREET 1: C/O GREENPOINT FINANCIAL CORP
STREET 2: 90 PARK AVE 4TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10016
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 400
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: (615) 221-2250
MAIL ADDRESS:
STREET 1: 111 WESTWOOD PLACE
STREET 2: SUITE 400
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
doc1.xml
FORM 4
X0304
4
2012-01-01
0
0001332349
Brookdale Senior Living Inc.
BKD
0001242323
LEEDS JEFFREY R
23 INVERNESS COURT
WHITE PLAINS
NY
10605
1
0
0
0
Common Stock
2012-01-01
4
A
0
451
17.39
A
35668
D
/s/ Chad C. White, By Power of Attorney
2012-01-04