0000899243-19-025013.txt : 20191003 0000899243-19-025013.hdr.sgml : 20191003 20191003203000 ACCESSION NUMBER: 0000899243-19-025013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191001 FILED AS OF DATE: 20191003 DATE AS OF CHANGE: 20191003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Walker Daniel H CENTRAL INDEX KEY: 0001773678 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38900 FILM NUMBER: 191137322 MAIL ADDRESS: STREET 1: C/O THE PENNANT GROUP, INC. STREET 2: 1675 E. RIVERSIDE DRIVE, STE 150 CITY: EAGLE STATE: ID ZIP: 83616 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 doc4.xml FORM 4 SUBMISSION X0306 4 2019-10-01 0 0001766400 Pennant Group, Inc. PNTG 0001773678 Walker Daniel H C/O THE PENNANT GROUP, INC. 1675 EAST RIVERSIDE DRIVE, SUITE 150 EAGLE ID 83616 1 1 0 0 See Remarks Common Stock 2019-10-01 4 A 0 849 0.00 A 849 D Common Stock 2019-10-01 4 A 0 693584 0.00 A 694433 I By Amoeba Investments, LLC Common Stock 2019-10-01 4 A 0 1192842 0.00 A 1887275 D Stock Option (right to buy) 3.36 2019-10-01 4 A 0 6914 0.00 A 2019-10-01 2024-02-07 Common Stock 6914 6914 D Stock Option (right to buy) 4.09 2019-10-01 4 A 0 6914 0.00 A 2019-10-01 2024-05-29 Common Stock 6914 6914 D Stock Option (right to buy) 8.03 2019-10-01 4 A 0 16972 0.00 A 2025-07-30 Common Stock 16972 16972 D Shares of common stock received in the October 1, 2019 pro rata distribution of shares of The Pennant Group, Inc. (the "Registrant") by The Ensign Group, Inc. to its stockholders (the "Spin-off") and shares of Cornerstone Healthcare, Inc. converted into shares of the Registrant pursuant to the to a merger of Cornerstone Merger Sub, Inc., a wholly-owned subsidiary of the Registrant, with and into Cornerstone Healthcare, Inc., with Cornerstone Healthcare, Inc. as the surviving corporation, in connection with the Spin-off. These shares are held by Amoeba Investments, LLC, of which Mr. Walker is the sole member. Shares of restricted stock units granted on October 1, 2019 under The Pennant Group, Inc. 2019 Omnibus Incentive Plan. Options assumed on October 1, 2019 by the Registrant under The Ensign Group, Inc. 2007 Omnibus Incentive Plan as a result of the Spin-off, all of which have vested. Options assumed on October 1, 2019 by the Registrant under The Ensign Group, Inc. 2007 Omnibus Incentive Plan as a result of the Spin-off, all of which have vested. Options assumed on October 1, 2019 by the Registrant under The Ensign Group, Inc. 2007 Omnibus Incentive Plan as a result of the Spin-off. 11,315 of these options are vested. 5,657 will vest on July 30, 2020. Chairman, Chief Executive Officer and President /s/ Derek J. Bunker, as attorney-in-fact 2019-10-03