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