-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Rb5FtM5FzDcp/b5AkCtG411055P9r6qKvTuJZczaOfdOsPqigCyKJGm9NoISGZL6 TOb8NmeSvE6GTKdicBAlqA== 0001005477-06-005159.txt : 20061016 0001005477-06-005159.hdr.sgml : 20061016 20061016152752 ACCESSION NUMBER: 0001005477-06-005159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061016 FILED AS OF DATE: 20061016 DATE AS OF CHANGE: 20061016 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: 330 NORTH WABASH STREET 2: SUITE 1400 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 977-3700 MAIL ADDRESS: STREET 1: 330 NORTH WABASH STREET 2: SUITE 1400 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Thomas Andrew CENTRAL INDEX KEY: 0001377740 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 061146187 BUSINESS ADDRESS: BUSINESS PHONE: 6152212250 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 edgar123.xml FORM 4 X0202 4 2006-10-16 0 0001332349 Brookdale Senior Living Inc. BKD 0001377740 Smith Thomas Andrew 111 WESTWOOD PLACE, SUITE 200 BRENTWOOD TN 37027 0 1 0 0 Ex. V.P.-Gen. Counsel & Sec. Common Stock 2006-10-16 4 A 0 4119 48.55 A 4119 D Common Stock 2006-10-16 4 A 0 120000 0 A 124119 D Acquisition of Common Stock and corresponding grant of restricted Common Stock under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan, pursuant to an employment agreement by and between the Issuer and the Reporting Person, entered into as of September 25, 2006 and effective as of October 16, 2006. /s/ T. Andrew Smith 2006-10-16 -----END PRIVACY-ENHANCED MESSAGE-----