0001332349-23-000039.txt : 20230217
0001332349-23-000039.hdr.sgml : 20230217
20230217203143
ACCESSION NUMBER: 0001332349-23-000039
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230215
FILED AS OF DATE: 20230217
DATE AS OF CHANGE: 20230217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kussow Dawn L
CENTRAL INDEX KEY: 0001665293
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32641
FILM NUMBER: 23644941
MAIL ADDRESS:
STREET 1: 6737 W. WASHINGTON STREET, SUITE 2300
CITY: MILWAUKEE
STATE: WI
ZIP: 53214
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_167668388364143.xml
FORM 4
X0306
4
2023-02-15
0
0001332349
Brookdale Senior Living Inc.
BKD
0001665293
Kussow Dawn L
6737 W. WASHINGTON ST.
SUITE 2300
MILWAUKEE
WI
53214
0
1
0
0
SVP & Chief Accounting Officer
Common Stock
2023-02-15
4
A
0
118644
0
A
214955
D
Common Stock
2023-02-15
4
A
0
2039
0
A
216994
D
Grant of time-based restricted stock units under the Amended and Restated Brookdale Senior Living Inc. 2014 Omnibus Incentive Plan. Such restricted stock units are eligible to vest ratably in four annual installments beginning February 27, 2024, subject to continued employment. Each restricted stock unit is generally payable in the form of one share of the issuer's common stock upon vesting. This Form 4 does not report the grant of performance-based restricted stock units to the reporting person on February 15, 2023, which will be eligible to vest and be paid with respect to 118,644 shares of the issuer's common stock at target performance levels. The actual number of shares of the issuer's common stock, if any, that become payable under such performance-based restricted stock units will be reported following conclusion of the applicable performance periods.
On February 15, 2023, the Compensation Committee determined the level of achievement of a tranche of performance-based restricted stock units previously awarded to the reporting person on February 10, 2022 for the performance period ended December 31, 2022. Each performance-based restricted stock unit reported herein is generally payable in the form of one share of the issuer's common stock upon vesting. Such performance-based restricted stock units are generally eligible to vest on February 27, 2025, subject to continued employment.
/s/ Chad C. White, By Power of Attorney
2023-02-17