0001140361-16-055865.txt : 20160301 0001140361-16-055865.hdr.sgml : 20160301 20160301190548 ACCESSION NUMBER: 0001140361-16-055865 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160227 FILED AS OF DATE: 20160301 DATE AS OF CHANGE: 20160301 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: Ohlendorf Mark W CENTRAL INDEX KEY: 0001343342 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 161475167 MAIL ADDRESS: STREET 1: 330 NORTH WABASH STREET 2: SUITE 1400 CITY: CHICAGO STATE: IL ZIP: 60601 4 1 doc1.xml FORM 4 X0306 4 2016-02-27 0 0001332349 Brookdale Senior Living Inc. BKD 0001343342 Ohlendorf Mark W 6737 W. WASHINGTON STREET SUITE 2300 MILWAUKEE WI 53214 0 1 0 0 President Common Stock 2016-02-27 4 F 0 11672 14.49 D 421730 D Common Stock 2016-02-27 4 D 0 13104 0 D 408626 D Represents share withholding to satisfy tax withholding obligations due upon the vesting of restricted stock previously granted to the reporting person. Represents the forfeiture of a portion of the restricted shares granted to the reporting person in 2013 due to the failure to achieve performance goals established by the Compensation Committee. /s/ Chad C. White, By Power of Attorney 2016-03-01