X0306 4 2021-11-19 1 0000919956 Diversicare Healthcare Services, Inc. DVCR 0001079428 MCCABE ROBERT A JR 150 THIRD AVENUE SOUTH SUITE 800 NASHVILLE TN 37201 1 0 0 0 Common Stock 2021-11-19 4 D 0 13219 10.10 D 0 D Option to purchase Common Stock 10.21 2021-11-19 4 D 0 15000 D 2015-10-06 2025-10-06 Common Stock 15000 0 D Disposition pursuant to the terms of the Agreement and Plan of Merger dated as of August 26, 2021 by and among DAC Acquisition, LLC, DVCR Acquisition Corporation and Diversicare Healthcare Services, Inc. (the "Merger Agreement"), exempt under Rule 16b-3. Pursuant to the terms of the Merger Agreement, at the Effective Time (as defined in the Merger Agreement), each share of common stock held by the reporting person immediately prior to the Effective Time was cancelled and the reporting person received an amount in cash equal to $10.10 per share of Company Common Stock, taking into account any changes thereto by reason of the merger. Pursuant to the terms of the Merger Agreement, at the Effective Time, any option to purchase common stock held by the reporting person immediately prior to the Effective Time that has an exercise price per share that is greater than or equal to $10.10 shall be cancelled at the Effective Time for no consideration, taking into account any changes thereto by reason of the merger. /s/ Susan V. Sidwell, Attorney-in-Fact for Robert A. McCabe Jr. 2021-11-22