0001332349-24-000025.txt : 20240220 0001332349-24-000025.hdr.sgml : 20240220 20240220192117 ACCESSION NUMBER: 0001332349-24-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240215 FILED AS OF DATE: 20240220 DATE AS OF CHANGE: 20240220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kussow Dawn L CENTRAL INDEX KEY: 0001665293 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 24655810 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 wk-form4_1708474849.xml FORM 4 X0508 4 2024-02-15 0 0001332349 Brookdale Senior Living Inc. BKD 0001665293 Kussow Dawn L 6737 W. WASHINGTON ST. SUITE 2300 MILWAUKEE WI 53214 0 1 0 0 EVP & Chief Financial Officer 0 Common Stock 2024-02-15 4 A 0 79492 0 A 285538 D Common Stock 2024-02-15 4 A 0 20116 0 A 305654 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 three annual installments beginning February 27, 2025, 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, 2024, which will be eligible to vest and be paid with respect to 79,491 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, 2024, the Compensation Committee determined the level of achievement of two tranches of performance-based restricted stock units previously awarded to the reporting person on February 10, 2022 and February 15, 2023 for the performance period ended December 31, 2023. 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 and February 27, 2026, respectively, subject to continued employment. /s/ Chad C. White, By Power of Attorney 2024-02-20