X0306 4 2017-03-01 0 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001257155 COHEN LAWRENCE A 14160 DALLAS PARKWAY SUITE 300 DALLAS TX 75254 1 1 0 0 CEO & Vice Chairman of Board Common Stock 2017-03-01 4 D 0 374 0.00 D 830560 D Common Stock 2017-03-01 4 D 0 1166 0.00 D 829394 D 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 97.8% (but not 100%) of the performance target with respect to such shares for fiscal 2016. Represents shares of performance-based restricted stock that were previously reported as beneficially owned by the reporting person as of February 24, 2016, but were subsequently forfeited due to the Company achieving 95.4% (but not 100%) of the performance target with respect to such shares for fiscal 2016. /s/ Lawrence A. Cohen 2017-03-03