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