0001125376-20-000033.txt : 20200214
0001125376-20-000033.hdr.sgml : 20200214
20200214181645
ACCESSION NUMBER: 0001125376-20-000033
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200214
DATE AS OF CHANGE: 20200214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMITH BARRY M
CENTRAL INDEX KEY: 0001212067
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33757
FILM NUMBER: 20622432
MAIL ADDRESS:
STREET 1: 4800 N SCOTTSDALE RD
STREET 2: SUITE 5000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
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
5
1
wf-form5_158172218815258.xml
FORM 5
X0306
5
2019-12-31
0
0
0
0001125376
ENSIGN GROUP, INC
ENSG
0001212067
SMITH BARRY M
29222 RANCHO VIEJO ROAD
SUITE 127
SAN JUAN CAPISTRANO
CA
92675
1
0
0
0
Common Stock
2019-11-14
5
G
0
9000
0
D
23250
D
/s/ Chad A. Keetch, as power of attorney
2020-02-14