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