0001125376-19-000144.txt : 20191017
0001125376-19-000144.hdr.sgml : 20191017
20191017193646
ACCESSION NUMBER: 0001125376-19-000144
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191015
FILED AS OF DATE: 20191017
DATE AS OF CHANGE: 20191017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shaw Daren
CENTRAL INDEX KEY: 0001548135
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33757
FILM NUMBER: 191156467
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL
STREET 2: SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ENSIGN GROUP, INC
CENTRAL INDEX KEY: 0001125376
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 330861263
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 29222 RANCHO VIEJO RD.
STREET 2: SUITE 127
CITY: SAN JUAN CAPISTRANO
STATE: CA
ZIP: 92675
BUSINESS PHONE: (949) 487-9500
MAIL ADDRESS:
STREET 1: 29222 RANCHO VIEJO RD.
STREET 2: SUITE 127
CITY: SAN JUAN CAPISTRANO
STATE: CA
ZIP: 92675
FORMER COMPANY:
FORMER CONFORMED NAME: ENSIGN GROUP INC
DATE OF NAME CHANGE: 20000930
4
1
wf-form4_157135537793442.xml
FORM 4
X0306
4
2019-10-15
0
0001125376
ENSIGN GROUP, INC
ENSG
0001548135
Shaw Daren
29222 RANCHO VIEJO ROAD
SUITE 127
SAN JUAN CAPISTRANO
CA
92675
1
0
0
0
Common Stock
2019-10-15
4
A
0
1125
40.46
A
44250
D
Stock Option (right to buy)
10.89
2015-05-29
2024-05-29
Common Stock
21626.0
21626
D
These shares vest in three equal annual installments beginning October 15, 2020.
This option vests in five equal annual installments beginning on May 29, 2015.
All options held by the Reporting Person have been adjusted to increase the number of shares and, in the case of the options, reduce the exercise price, in a manner subject to the adjustment provisions of The Pennant Group, Inc. spin-off from The Ensign Group, Inc. which occurred on October 1, 2019.
/s/ Chad A. Keetch, as power of attorney
2019-10-17