0001144204-15-072003.txt : 20151221
0001144204-15-072003.hdr.sgml : 20151221
20151221174346
ACCESSION NUMBER: 0001144204-15-072003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151217
FILED AS OF DATE: 20151221
DATE AS OF CHANGE: 20151221
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Summit Healthcare REIT, Inc
CENTRAL INDEX KEY: 0001310383
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 731721791
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2 SOUTH POINTE DRIVE
STREET 2: STE 100
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
BUSINESS PHONE: 949-535-2022
MAIL ADDRESS:
STREET 1: 2 SOUTH POINTE DRIVE
STREET 2: STE 100
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
FORMER COMPANY:
FORMER CONFORMED NAME: Cornerstone Core Properties REIT, Inc.
DATE OF NAME CHANGE: 20050518
FORMER COMPANY:
FORMER CONFORMED NAME: Cornerstone Core Properties REIT
DATE OF NAME CHANGE: 20050516
FORMER COMPANY:
FORMER CONFORMED NAME: Cornerstone Realty Fund Inc
DATE OF NAME CHANGE: 20041202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PAGLIARINI ELIZABETH A.
CENTRAL INDEX KEY: 0001618431
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52566
FILM NUMBER: 151300341
MAIL ADDRESS:
STREET 1: 2 SOUTH POINTE DR.
STREET 2: SUITE 100
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
4
1
v427494_4.xml
FORM 4
X0306
4
2015-12-17
0
0001310383
Summit Healthcare REIT, Inc
NONE
0001618431
PAGLIARINI ELIZABETH A.
2 SOUTH POINTE DR.
SUITE 100
LAKE FOREST
CA
92630
0
1
0
0
Chief Financial Officer
Incentive Stock Option
1.72
2015-12-17
4
A
0
100000
0.00
A
2025-12-16
Common Stock
100000
100000
D
The options were granted pursuant to the Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan.
The options are exercisable as follows: (a) 33,333 commencing on December 17, 2015 (b) and the remaining 66,667 in 24 equal monthly installments commencing on January 1, 2016.
/s/ Elizabeth Pagliarini
2015-12-21