0001140361-12-042537.txt : 20121002 0001140361-12-042537.hdr.sgml : 20121002 20121002181726 ACCESSION NUMBER: 0001140361-12-042537 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121001 FILED AS OF DATE: 20121002 DATE AS OF CHANGE: 20121002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLEGG JACKIE M CENTRAL INDEX KEY: 0001214792 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 121124832 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Brookdale Senior Living Inc. CENTRAL INDEX KEY: 0001332349 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 203068069 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: (615) 221-2250 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc1.xml FORM 4 X0306 4 2012-10-01 0 0001332349 Brookdale Senior Living Inc. BKD 0001214792 CLEGG JACKIE M CLEGG INTERNATIONAL CONSULTANTS 8 SEVENTH STREET, NE WASHINGTON DC 20002 1 0 0 0 Common Stock 2012-10-01 4 A 0 750 23.31 A 14336 D Acquisition of restricted stock units under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan pursuant to the issuer's outside director compensation program. Each restricted stock unit will generally be payable in the form of one share of the issuer's common stock following the reporting person's termination of service as a member of the issuer's Board of Directors. /s/ Chad C. White, By Power of Attorney 2012-10-02