0001640173-20-000002.txt : 20200130
0001640173-20-000002.hdr.sgml : 20200130
20200130193045
ACCESSION NUMBER: 0001640173-20-000002
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200130
DATE AS OF CHANGE: 20200130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sanders J. Grayson
CENTRAL INDEX KEY: 0001640173
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55434
FILM NUMBER: 20562813
MAIL ADDRESS:
STREET 1: 27 LA QUINTA
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Griffin-American Healthcare REIT III, Inc.
CENTRAL INDEX KEY: 0001566912
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 461749436
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: 949-270-9200
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
5
1
wf-form5_158043062699900.xml
FORM 5
X0306
5
2019-12-31
0
0
0
0001566912
Griffin-American Healthcare REIT III, Inc.
NONE
0001640173
Sanders J. Grayson
C/O GRIFFIN-AMERICAN HEALTHCARE REIT
III, INC. 18191 VON KARMAN AVE, STE. 300
IRVINE
CA
92612
1
0
0
0
Common Stock
15842
D
Common Stock
27000
I
By Sanders Living Trust DTD 1/25/2017
On August 14, 2019, J. Grayson Sanders transferred 27,000 shares of common stock to Sanders Living Trust, DTD 1/25/2017, a trust in which Mr. Sanders serves as a trustee.
The reported shares of common stock are held directly by Sanders Living Trust, DTD 1/25/2017, and indirectly by J. Grayson Sanders and Marylee Sanders, Trustees.
/s/ J. GRAYSON SANDERS
2020-01-30