0001140361-12-026866.txt : 20120522
0001140361-12-026866.hdr.sgml : 20120522
20120522194553
ACCESSION NUMBER: 0001140361-12-026866
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: Rijos John P
CENTRAL INDEX KEY: 0001343598
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32641
FILM NUMBER: 12862816
MAIL ADDRESS:
STREET 1: 330 NORTH WABASH
STREET 2: SUITE 1400
CITY: CHICAGO
STATE: IL
ZIP: 60601
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
0001343598
Rijos John P
515 NORTH STATE STREET
SUITE 1750
CHICAGO
IL
60654
0
1
0
0
Co-President and COO
Common Stock
2012-05-20
4
D
0
5000
0
D
561383
D
Common Stock
2012-05-22
4
S
0
18400
16.5817
D
542983
D
Represents the forfeiture of a tranche of restricted shares granted to the reporting person on April 21, 2008 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 sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan previously adopted by the reporting person.
/s/ Chad C. White, By Power of Attorney
2012-05-22