0001125376-21-000090.txt : 20210527
0001125376-21-000090.hdr.sgml : 20210527
20210527195922
ACCESSION NUMBER: 0001125376-21-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210527
DATE AS OF CHANGE: 20210527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wittekind Beverly B.
CENTRAL INDEX KEY: 0001475842
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33757
FILM NUMBER: 21975281
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, STE 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_162215994212344.xml
FORM 4
X0306
4
2021-05-25
0
0001125376
ENSIGN GROUP, INC
ENSG
0001475842
Wittekind Beverly B.
29222 RANCHO VIEJO ROAD
SUITE 127
SAN JUAN CAPISTRANO
CA
92675
0
1
0
0
VP and General Counsel
Common Stock
2021-05-25
4
F
0
119
82.20
D
46772
D
Common Stock
2021-05-27
4
A
0
1000
0
A
47772
D
Employee Stock Option (right to buy)
82.2
2021-05-27
4
A
0
2500
0
A
2022-05-27
2031-05-27
Common Stock
2500.0
2500
D
These shares relate to taxes withheld on a Restricted Stock Award granted May 25, 2017 that vests in five equal annual installments beginning May 25, 2018.
These shares vest in five equal annual installments beginning May 27, 2022.
This option vests in five equal annual installments beginning on May 27, 2022.
/s/ Chad A. Keetch, as power of attorney
2021-05-27