0001104659-21-151668.txt : 20211220
0001104659-21-151668.hdr.sgml : 20211220
20211220160352
ACCESSION NUMBER: 0001104659-21-151668
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211216
FILED AS OF DATE: 20211220
DATE AS OF CHANGE: 20211220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Geiger Stephen R.
CENTRAL INDEX KEY: 0001876350
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16817
FILM NUMBER: 211505249
MAIL ADDRESS:
STREET 1: C/O FIVE STAR SENIOR LIVING INC.
STREET 2: 400 CENTRE STREET
CITY: NEWTON
STATE: MA
ZIP: 02458
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIVE STAR SENIOR LIVING INC.
CENTRAL INDEX KEY: 0001159281
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 043516029
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 CENTRE STREET
CITY: NEWTON
STATE: MA
ZIP: 02458
BUSINESS PHONE: (617) 796 8387
MAIL ADDRESS:
STREET 1: 400 CENTRE STREET
CITY: NEWTON
STATE: MA
ZIP: 02458
FORMER COMPANY:
FORMER CONFORMED NAME: FIVE STAR QUALITY CARE, INC.
DATE OF NAME CHANGE: 20161006
FORMER COMPANY:
FORMER CONFORMED NAME: FIVE STAR QUALITY CARE INC
DATE OF NAME CHANGE: 20010918
4
1
tm2135795-4_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-12-16
0
0001159281
FIVE STAR SENIOR LIVING INC.
NASDAQ:FVE
0001876350
Geiger Stephen R.
C/O FIVE STAR SENIOR LIVING INC.,
400 CENTRE STREET
NEWTON
MA
02458
0
1
0
0
VP & CAO
Common Stock
2021-12-16
4
F
0
1599
3.01
D
23401
D
Represents payment of tax liability by withholding securities incident to the vesting of securities issued in accordance with Rule 16b-3.
/s/ Stephen R. Geiger
2021-12-20