0001862128-22-000025.txt : 20220301 0001862128-22-000025.hdr.sgml : 20220301 20220301202727 ACCESSION NUMBER: 0001862128-22-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220228 FILED AS OF DATE: 20220301 DATE AS OF CHANGE: 20220301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kono Ann CENTRAL INDEX KEY: 0001837209 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34950 FILM NUMBER: 22700827 MAIL ADDRESS: STREET 1: 18500 VON KARMAN AVENUE, SUITE 550 CITY: IRVINE STATE: CA ZIP: 92612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Sabra Health Care REIT, Inc. CENTRAL INDEX KEY: 0001492298 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 272560479 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18500 VON KARMAN STREET 2: SUITE 550 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 888-393-8248 MAIL ADDRESS: STREET 1: 18500 VON KARMAN STREET 2: SUITE 550 CITY: IRVINE STATE: CA ZIP: 92612 4 1 wf-form4_164618440958229.xml FORM 4 X0306 4 2022-02-28 0 0001492298 Sabra Health Care REIT, Inc. SBRA 0001837209 Kono Ann C/O SABRA HEALTH CARE REIT, INC. 18500 VON KARMAN AVENUE, SUITE 550 IRVINE CA 92612 1 0 0 0 Common Stock 2022-02-28 4 A 0 228 0 A 10460 D Represents stock units credited to the reporting person in the form of dividend equivalent payments on stock units previously granted to the reporting person that are outstanding under the Issuer's 2009 Performance Incentive Plan, calculated on the basis of the market value of the Issuer's common stock on the dividend payment date. These units will vest and become payable on the same terms as the original stock units to which they relate. Consists of 2,288 unvested stock units and 8,172 stock units that have vested but the payment of which has been deferred. Each stock unit represents the right to receive one share of the Issuer's Common Stock. Exhibit List: Exhibit 24 - Power of Attorney /s/ Michael Costa, as Attorney-in-Fact 2022-03-01 EX-24 2 ex-24.htm POA KONO (2022)
POWER OF ATTORNEY

    The undersigned hereby constitutes and appoints Richard K. Matros and Michael Costa of Sabra Health Care REIT, Inc. and Andor D. Terner, Shelly Heyduk and Mollie Yeh of O'Melveny & Myers LLP, signing singly, the undersigned's true and lawful attorney-in-fact to:

    (1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reported required by Section 16(a) of the Securities Exchange Act of 1934, as amended, or any rule or regulation of the SEC;

    (2) execute for and on behalf of the undersigned, in any capacity including without limitation in the undersigned's capacity as an officer and/or director of Sabra Health Care REIT, Inc., or as a trustee, beneficiary or settlor of a trust, Forms 3, 4 and 5, and all amendments and/or supplements thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder;

    (3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 and 5, and all amendments and/or supplements thereto, and timely file such forms with the SEC and any stock exchange or other authority; and

    (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

    The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is Sabra Health Care REIT, Inc. or O'Melveny & Myers LLP assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended. The undersigned agrees that the foregoing attorneys-in-fact may rely entirely on information furnished orally or in writing by the undersigned to any of them. The undersigned also agrees to indemnify and hold harmless Sabra Health Care REIT, Inc. and O'Melveny & Myers LLP and the foregoing attorneys-in-fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statements or omission of necessary facts in the information provided by the undersigned to any of them for purposes of executing, acknowledging, delivering or filing Forms 3, 4 and 5 and all amendments and/or supplements thereto, and agrees to reimburse such companies and the attorneys-in-fact for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action.

    This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities for which such forms are required to be filed including those securities issued by Sabra Health Care REIT, Inc., unless earlier revoked by the undersigned in a signed writing delivered by registered or certified mail, return receipt requested, to the Secretary of Sabra Health Care REIT, Inc. Notwithstanding anything to the contrary contained herein, upon receipt by the Secretary of Sabra Health Care REIT, Inc., this Power of Attorney shall supersede and replace all prior Powers of Attorney executed by the undersigned and filed with the Secretary of Sabra Health Care REIT, Inc. appointing Sabra Health Care REIT, Inc. employees or other designated attorneys-in-fact to file Forms 3, 4 and 5 with the SEC under Section 16(a) of the Securities Exchange Act of 1934; provided, however, any indemnification and reimbursement agreement contained therein shall survive the termination of said Powers of Attorney.

    IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of January, 2022.

/s/ Ann Kono
 Ann Kono