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