0001062993-21-005348.txt : 20210603 0001062993-21-005348.hdr.sgml : 20210603 20210603165448 ACCESSION NUMBER: 0001062993-21-005348 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210601 FILED AS OF DATE: 20210603 DATE AS OF CHANGE: 20210603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DIRCKS THOMAS C CENTRAL INDEX KEY: 0001035123 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-33169 FILM NUMBER: 21993239 MAIL ADDRESS: STREET 1: C/O CHARTERHOUSE GROUP INTERNATIONAL INC STREET 2: 535 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CROSS COUNTRY HEALTHCARE INC CENTRAL INDEX KEY: 0001141103 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 134066229 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6551 PARK OF COMMERCE BOULEVARD, N.W. CITY: BOCA RATON STATE: FL ZIP: 33487 BUSINESS PHONE: 8003472264 MAIL ADDRESS: STREET 1: 6551 PARK OF COMMERCE BOULEVARD, N.W. CITY: BOCA RATON STATE: FL ZIP: 33487 FORMER COMPANY: FORMER CONFORMED NAME: CROSS COUNTRY INC DATE OF NAME CHANGE: 20010521 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-06-01 0001141103 CROSS COUNTRY HEALTHCARE INC CCRN 0001035123 DIRCKS THOMAS C C/O CROSS COUNTRY HEALTHCARE, INC. 6551 PARK OF COMMERCE BOULEVARD, N.W. BOCA RATON FL 33487 1 0 0 0 Common Stock 2021-06-01 4 A 0 6663 0 A 115646 D Common Stock 74005 I By Dircks Family LLC These restricted shares of common stock will vest June 1, 2022. /s/ Thomas C. Dircks 2021-06-03