0001140361-11-041672.txt : 20110812 0001140361-11-041672.hdr.sgml : 20110812 20110812202001 ACCESSION NUMBER: 0001140361-11-041672 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110810 FILED AS OF DATE: 20110812 DATE AS OF CHANGE: 20110812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Thomas Andrew CENTRAL INDEX KEY: 0001377740 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 111032845 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE 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 X0304 4 2011-08-10 0 0001332349 Brookdale Senior Living Inc. BKD 0001377740 Smith Thomas Andrew 111 WESTWOOD PLACE SUITE 400 BRENTWOOD TN 37027 0 1 0 0 EVP, General Counsel & Sec. Common Stock 2011-08-10 4 A 0 34159 0 A 286230 D Common Stock 2011-08-10 4 A 0 34159 0 A 320389 D Grant of restricted Common Stock under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan. The shares shall vest ratably in four installments on May 20, 2012, May 20, 2013, May 20, 2014 and May 20, 2015. Grant of restricted Common Stock under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan. 75% of the shares shall vest on May 20, 2014 and 25% of the shares shall vest on May 20, 2015, in each case dependent upon the level of achievement of performance goals established for each tranche by the Compensation Committee. Any performance-based shares which do not vest in any tranche will be forfeited. /s/ Chad C. White, By Power of Attorney 2011-08-12