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