0001140361-12-026881.txt : 20120522 0001140361-12-026881.hdr.sgml : 20120522 20120522211057 ACCESSION NUMBER: 0001140361-12-026881 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120520 FILED AS OF DATE: 20120522 DATE AS OF CHANGE: 20120522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HICKS GEORGE T CENTRAL INDEX KEY: 0001251139 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 12862913 MAIL ADDRESS: STREET 1: 111 WEST WOOD PLACE STREET 2: C/O AMERICAN RETIREMENT CORP 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 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 X0305 4 2012-05-20 0 0001332349 Brookdale Senior Living Inc. BKD 0001251139 HICKS GEORGE T 111 WESTWOOD PLACE SUITE 400 BRENTWOOD TN 37027 0 1 0 0 Executive Vice President Common Stock 2012-05-20 4 F 0 4686 16.02 D 170301 D Represents share withholding to satisfy tax withholding obligations due upon the vesting of restricted stock previously granted to the reporting person. /s/ Chad C. White, By Power of Attorney 2012-05-22