0001144204-19-015940.txt : 20190326
0001144204-19-015940.hdr.sgml : 20190326
20190326122713
ACCESSION NUMBER: 0001144204-19-015940
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190320
FILED AS OF DATE: 20190326
DATE AS OF CHANGE: 20190326
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Koenig Suzanne A
CENTRAL INDEX KEY: 0001651918
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52566
FILM NUMBER: 19704736
MAIL ADDRESS:
STREET 1: ONE NORTHFIELD PLAZA
STREET 2: SUITE 210
CITY: NORTHFIELD
STATE: IL
ZIP: 60093
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
4
1
tv517122_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-03-20
0
0001310383
Summit Healthcare REIT, Inc
NONE
0001651918
Koenig Suzanne A
2 SOUTH POINTE DR., SUITE 100
LAKE FOREST
CA
92630
1
0
0
0
Non-qualified Stock Option (Right to Buy)
2.26
2019-03-20
4
A
0
40000
0.00
A
2029-03-20
Common Stock
40000
40000
D
The options were granted pursuant to the Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan.
The options are exercisable as follows: in 36 equal monthly installments commencing on April 1, 2019.
/s/ Suzanne Koenig
2019-03-26