0001766400-22-000109.txt : 20220727
0001766400-22-000109.hdr.sgml : 20220727
20220727191955
ACCESSION NUMBER: 0001766400-22-000109
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220725
FILED AS OF DATE: 20220727
DATE AS OF CHANGE: 20220727
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: 221112329
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
wf-form4_165896398128034.xml
FORM 4
X0306
4
2022-07-25
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
2022-07-25
4
D
0
250000
0
D
943691
D
Common Stock
424417
I
By Amoeba Investments, LLC
This Reporting Person was granted 1,192,842 Restricted Stock Units on October 1, 2019 under The Pennant Group, Inc.'s 2019 Omnibus Incentive Plan. On July 25, 2022, 250,000 Restricted Stock Units were forfeited to the Company.
These shares are held by Amoeba Investments, LLC, of which Mr. Walker is the sole member.
/s/ Derek J. Bunker, as attorney-in-fact
2022-07-27