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