-----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, CiXlI2nW9FOwKxWq0kucy2VS68RTtdgiQ1liA3d6tQz/OrDB7lmfqAtOFgRh8klh vMtca/uBxB0wnVis6Wh74Q== 0001209191-05-059243.txt : 20051122 0001209191-05-059243.hdr.sgml : 20051122 20051122184040 ACCESSION NUMBER: 0001209191-05-059243 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051121 FILED AS OF DATE: 20051122 DATE AS OF CHANGE: 20051122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLEGG JACKIE M CENTRAL INDEX KEY: 0001214792 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 051222549 BUSINESS ADDRESS: STREET 1: IPC HOLDINGS LTD STREET 2: PO BOX HM152 CITY: HAMILTON BERMUDA STATE: D0 ZIP: HMAX BUSINESS PHONE: 4412985100 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 4 1 bny10687_jmc4.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-11-21 0001332349 Brookdale Senior Living Inc. BKD 0001214792 CLEGG JACKIE M CLEGG INTERNATIONAL CONSULTANTS #8 7TH STREET, NE WASHINGTON DC 20020 1 0 0 0 Common Stock. 2005-11-21 4 A 0 15790 A 15790 D Not Applicable. /s/ Jackie M. Clegg 2005-11-21 -----END PRIVACY-ENHANCED MESSAGE-----