0000899243-16-014576.txt : 20160226 0000899243-16-014576.hdr.sgml : 20160226 20160226182822 ACCESSION NUMBER: 0000899243-16-014576 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160224 FILED AS OF DATE: 20160226 DATE AS OF CHANGE: 20160226 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CAPITAL SENIOR LIVING CORP CENTRAL INDEX KEY: 0001043000 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 752678809 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14160 DALLAS PARKWAY STREET 2: SUITE 300 CITY: DALLAS STATE: TX ZIP: 75254 BUSINESS PHONE: 9727705600 MAIL ADDRESS: STREET 1: 14160 DALLAS PARKWAY STREET 2: SUITE 300 CITY: DALLAS STATE: TX ZIP: 75254 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHANNESSEN KEITH N CENTRAL INDEX KEY: 0001257205 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 161464109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-24 0 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001257205 JOHANNESSEN KEITH N 14160 DALLAS PARKWAY SUITE 300 DALLAS TX 75254 1 1 0 0 President & COO Common Stock 2016-02-24 4 A 0 61444 0.00 A 481923 D Common Stock 2016-02-24 4 A 0 61444 0.00 A 543367 D Common Stock 2016-02-24 4 D 0 172 0.00 D 543195 D Represents shares of restricted stock granted on February 24, 2016 under the Company's 2007 Omnibus Stock and Incentive Plan, which vest in three installments of 33%, 33% and 34% on February 24, 2017, February 24, 2018 and February 24, 2019, respectively. Represents shares of restricted stock granted on February 24, 2016 under the Company's 2007 Omnibus Stock and Incentive Plan, which vest in three installments of 33%, 33% and 34% on February 24, 2017, February 24, 2018 and February 24, 2019, respectively, provided the Company satisfies certain performance measures with respect to fiscal 2016, fiscal 2017 and fiscal 2018. Represents shares of performance-based restricted stock that were previously reported as beneficially owned by the reporting person as of March 4, 2014, but were subsequently forfeited due to the Company achieving 98.7% (but not 100%) of the performance target with respect to such shares for fiscal 2015. /s/ Keith N. Johannessen 2016-02-26