0001004724-16-000161.txt : 20160129
0001004724-16-000161.hdr.sgml : 20160129
20160129092800
ACCESSION NUMBER: 0001004724-16-000161
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160127
FILED AS OF DATE: 20160129
DATE AS OF CHANGE: 20160129
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADCARE HEALTH SYSTEMS, INC
CENTRAL INDEX KEY: 0001004724
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 311332119
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1145 HEMBREE ROAD
CITY: ROSWELL
STATE: GA
ZIP: 30076
BUSINESS PHONE: 404-781-2895
MAIL ADDRESS:
STREET 1: 1145 HEMBREE ROAD
CITY: ROSWELL
STATE: GA
ZIP: 30076
FORMER COMPANY:
FORMER CONFORMED NAME: ADCARE HEALTH SYSTEMS INC
DATE OF NAME CHANGE: 19951208
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rimland Allan J
CENTRAL INDEX KEY: 0001638329
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33135
FILM NUMBER: 161371153
MAIL ADDRESS:
STREET 1: 1145 HEMBREE ROAD
CITY: ROSWELL
STATE: GA
ZIP: 30076
4
1
wf-form4_145407766958451.xml
FORM 4
X0306
4
2016-01-27
0
0001004724
ADCARE HEALTH SYSTEMS, INC
ADK
0001638329
Rimland Allan J
TWO BUCKHEAD PLAZA
3050 PEACHTREE ROAD, NW SUITE 355
ATLANTA
GA
30305
0
1
0
0
President & CFO
Common Stock
2016-01-27
4
A
0
24155
0
A
169155
D
Common Stock Option (right to buy)
2.07
2016-01-27
4
A
0
64321
0
A
2016-01-27
2021-01-27
Common Stock
64321.0
64321
D
Award granted under the AdCare Health Systems, Inc. 2011 Stock Plan with immediate vesting at grant date, January 27, 2016
Award granted in connection with 2015 performance bonus.
/s/ Allan J. Rimland
2016-01-29