0001104659-22-006139.txt : 20220120
0001104659-22-006139.hdr.sgml : 20220120
20220120214511
ACCESSION NUMBER: 0001104659-22-006139
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220118
FILED AS OF DATE: 20220120
DATE AS OF CHANGE: 20220120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cody Lauren C.
CENTRAL INDEX KEY: 0001905168
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16817
FILM NUMBER: 22543990
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
3
1
tm223066-1_3seq1.xml
OWNERSHIP DOCUMENT
X0206
3
2022-01-18
1
0001159281
FIVE STAR SENIOR LIVING INC.
NASDAQ:FVE
0001905168
Cody Lauren C.
C/O FIVE STAR SENIOR LIVING INC.,
400 CENTRE STREET
NEWTON
MA
02458
0
1
0
0
EVP & CCO
/s/ Lauren C. Cody
2022-01-20