0001209191-15-013491.txt : 20150213 0001209191-15-013491.hdr.sgml : 20150213 20150213161110 ACCESSION NUMBER: 0001209191-15-013491 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Diversicare Healthcare Services, Inc. CENTRAL INDEX KEY: 0000919956 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 621559667 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6157717575 MAIL ADDRESS: STREET 1: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: ADVOCAT INC DATE OF NAME CHANGE: 19940309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McMullan John F CENTRAL INDEX KEY: 0001527719 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12996 FILM NUMBER: 15614566 MAIL ADDRESS: STREET 1: 1175 PEACHTREE STREET STREET 2: SUITE 1230 CITY: ATLANTA STATE: 2Q ZIP: 30361 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2014-12-31 1 0 0 0000919956 Diversicare Healthcare Services, Inc. DVCR 0001527719 McMullan John F 1175 PEACHTREE STREET SUITE 350 ATLANTA GA 30361 0 0 0 1 Member of 10% owner group Common Stock 2014-09-03 5 G 0 50000 0.00 D 214213 D Common Stock 30000 I By Spouse /s/ John F. McMullan 2015-02-13