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