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