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