0001332349-21-000070.txt : 20210706 0001332349-21-000070.hdr.sgml : 20210706 20210706170610 ACCESSION NUMBER: 0001332349-21-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Neal Anna Gene CENTRAL INDEX KEY: 0001786826 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 211074984 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 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: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: (615) 221-2250 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 wf-form4_162560549353019.xml FORM 4 X0306 4 2021-07-01 1 0001332349 Brookdale Senior Living Inc. BKD 0001786826 O'Neal Anna Gene 111 WESTWOOD PLACE SUITE 400 BRENTWOOD TN 37027 0 0 0 1 Former officer Common Stock 2021-07-01 4 A 0 4439 0 A 54124 D Common Stock 2021-07-01 4 D 0 22389 0 D 31735 D Common Stock 2021-07-01 4 F 0 5834 8.17 D 25901 D Represents the vesting of performance-based restricted stock units previously granted to the reporting person effective upon the closing of the sale of 80% of the Company's equity in its Health Care Services segment. Represents the forfeiture of a portion of the time-based restricted stock units previously granted to the reporting person on February 22, 2021. Represents share withholding to satisfy tax withholding obligations due upon the vesting of restricted stock and restricted stock units previously granted to the reporting person. /s/ J. Daniel Huffines, By Power of Attorney 2021-07-06