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