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