0001332349-17-000026.txt : 20170523 0001332349-17-000026.hdr.sgml : 20170523 20170523163756 ACCESSION NUMBER: 0001332349-17-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170519 FILED AS OF DATE: 20170523 DATE AS OF CHANGE: 20170523 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kussow Dawn L CENTRAL INDEX KEY: 0001665293 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 17864231 MAIL ADDRESS: STREET 1: 6737 W. WASHINGTON STREET, SUITE 2300 CITY: MILWAUKEE STATE: WI ZIP: 53214 4 1 wf-form4_149557185182528.xml FORM 4 X0306 4 2017-05-19 0 0001332349 Brookdale Senior Living Inc. BKD 0001665293 Kussow Dawn L 6737 W. WASHINGTON ST. SUITE 2300 MILWAUKEE WI 53214 0 1 0 0 SVP & Chief Accounting Officer Common Stock 2017-05-19 4 F 0 132 14.02 D 35994 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 2017-05-23