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