0001766400-21-000028.txt : 20210211 0001766400-21-000028.hdr.sgml : 20210211 20210211185518 ACCESSION NUMBER: 0001766400-21-000028 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Walker Daniel H CENTRAL INDEX KEY: 0001773678 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38900 FILM NUMBER: 21621678 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 5 1 wf-form5_161308770255584.xml FORM 5 X0306 5 2020-12-31 0 0 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 Chief Executive Officer Common Stock 2020-12-18 5 G 0 1540 0 D 620044 I By Amoeba Investments, LLC Common Stock 2020-11-04 5 G 0 12000 0 D 608044 I By Amoeba Investments, LLC Common Stock 1193691 D These shares are held by Amoeba Investments, LLC, of which Mr. Walker is the sole member. /s/ Derek J. Bunker, as attorney-in-fact 2021-02-11