0001766400-22-000012.txt : 20220120
0001766400-22-000012.hdr.sgml : 20220120
20220120170032
ACCESSION NUMBER: 0001766400-22-000012
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220118
FILED AS OF DATE: 20220120
DATE AS OF CHANGE: 20220120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nackel John G.
CENTRAL INDEX KEY: 0001437214
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38900
FILM NUMBER: 22542971
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pennant Group, Inc.
CENTRAL INDEX KEY: 0001766400
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 2089576025
MAIL ADDRESS:
STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
wf-form4_164271600923241.xml
FORM 4
X0306
4
2022-01-18
0
0001766400
Pennant Group, Inc.
PNTG
0001437214
Nackel John G.
C/O THE PENNANT GROUP, INC.
1675 EAST RIVERSIDE DRIVE, SUITE 150
EAGLE
ID
83616
1
0
0
0
Common Stock
2022-01-18
4
A
0
750
0
A
49902
D
Common Stock
2700
I
By Nackel Family Trust dated June 30, 1997
These shares vest in three annual installments beginning January 18, 2023.
These shares are held by the Nackel Family Trust dated June 30, 1997. Dr. Nackel and his spouse share voting and investment power over the trust.
/s/ Derek J. Bunker, as attorney-in-fact
2022-01-20