0001631212-15-000002.txt : 20150911
0001631212-15-000002.hdr.sgml : 20150911
20150911114328
ACCESSION NUMBER: 0001631212-15-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150909
FILED AS OF DATE: 20150911
DATE AS OF CHANGE: 20150911
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Genesis Healthcare, Inc.
CENTRAL INDEX KEY: 0001351051
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 EAST STATE STREET
CITY: KENNETT SQUARE
STATE: PA
ZIP: 19348
BUSINESS PHONE: 610-444-6350
MAIL ADDRESS:
STREET 1: 101 EAST STATE STREET
CITY: KENNETT SQUARE
STATE: PA
ZIP: 19348
FORMER COMPANY:
FORMER CONFORMED NAME: Skilled Healthcare Group, Inc.
DATE OF NAME CHANGE: 20070209
FORMER COMPANY:
FORMER CONFORMED NAME: SHG Holding Solutions Inc
DATE OF NAME CHANGE: 20060126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hausman Joshua
CENTRAL INDEX KEY: 0001631212
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33459
FILM NUMBER: 151102714
MAIL ADDRESS:
STREET 1: ONEX CORPORATION
STREET 2: 712 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10019
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-09-09
0
0001351051
Genesis Healthcare, Inc.
GEN
0001631212
Hausman Joshua
C/O GENESIS HEALTHCARE
101 EAST STATE STREET
KENNETT SQUARE
PA
19348
1
0
1
0
Class A Common Stock
2015-09-09
4
D
0
19802
0
D
0
D
Previously awarded restricted stock units were cancelled and in lieu thereof a payment of $120,000 (the value of the restricted stock unit award) will be made to Onex Partners Manager LP, of which Mr. Hausman is a Managing Director.
By: Michael Berg, Attorney-in-fact for Joshua Hausman
2015-09-11