-----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, VxBZ4Z4nbpdsEnbVT7Qsa4OwHpo2ASVCTTzeF5oKQpqF/M9xgggKYL/c/qM71HyS Vj8K0bROcwA8AxsRhGxGFA== 0001209191-05-058838.txt : 20051121 0001209191-05-058838.hdr.sgml : 20051121 20051121181336 ACCESSION NUMBER: 0001209191-05-058838 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051121 FILED AS OF DATE: 20051121 DATE AS OF CHANGE: 20051121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Waxman Samuel CENTRAL INDEX KEY: 0001344158 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 051219280 BUSINESS ADDRESS: BUSINESS PHONE: 212 289 2828 MAIL ADDRESS: STREET 1: 1150 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10029 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 3 1 bny10687_sw.xml MAIN DOCUMENT DESCRIPTION X0202 3 2005-11-21 1 0001332349 Brookdale Senior Living Inc. BKD 0001344158 Waxman Samuel 1150 FIFTH AVENUE NEW YORK NY 10029 1 0 0 0 No Securities Beneficially Owned /s/ Samuel Waxman 2005-11-21 -----END PRIVACY-ENHANCED MESSAGE-----