0000895345-21-000960.txt : 20211112
0000895345-21-000960.hdr.sgml : 20211112
20211112083221
ACCESSION NUMBER: 0000895345-21-000960
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211103
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conversant Capital LLC
CENTRAL INDEX KEY: 0001850901
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 211399953
BUSINESS ADDRESS:
STREET 1: 25 DEFOREST AVENUE, 3RD FLOOR
CITY: SUMMIT
STATE: NJ
ZIP: 07901
BUSINESS PHONE: 9175153729
MAIL ADDRESS:
STREET 1: 25 DEFOREST AVENUE, 3RD FLOOR
CITY: SUMMIT
STATE: NJ
ZIP: 07901
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simanovsky Michael
CENTRAL INDEX KEY: 0001596522
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 211399954
MAIL ADDRESS:
STREET 1: 90 PARK AVENUE
STREET 2: 32ND FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conversant Dallas Parkway (B) LP
CENTRAL INDEX KEY: 0001892128
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 211399951
BUSINESS ADDRESS:
STREET 1: CONVERSANT DALLAS PARKWAY (B) LP
STREET 2: 25 DEFOREST AVENUE
CITY: SUMMIT
STATE: NJ
ZIP: 07901
BUSINESS PHONE: 917-515-3729
MAIL ADDRESS:
STREET 1: CONVERSANT DALLAS PARKWAY (B) LP
STREET 2: 25 DEFOREST AVENUE
CITY: SUMMIT
STATE: NJ
ZIP: 07901
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conversant GP Holdings LLC
CENTRAL INDEX KEY: 0001850910
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 211399950
BUSINESS ADDRESS:
STREET 1: 90 PARK AVENUE 32ND FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
BUSINESS PHONE: 9175153729
MAIL ADDRESS:
STREET 1: 90 PARK AVENUE 32ND FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conversant Dallas Parkway (A) LP
CENTRAL INDEX KEY: 0001892127
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 211399952
BUSINESS ADDRESS:
STREET 1: CONVERSANT DALLAS PARKWAY (A) LP
STREET 2: 25 DEFOREST AVENUE
CITY: SUMMIT
STATE: NJ
ZIP: 07901
BUSINESS PHONE: 917-515-3729
MAIL ADDRESS:
STREET 1: CONVERSANT DALLAS PARKWAY (A) LP
STREET 2: 25 DEFOREST AVENUE
CITY: SUMMIT
STATE: NJ
ZIP: 07901
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CAPITAL SENIOR LIVING CORP
CENTRAL INDEX KEY: 0001043000
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
IRS NUMBER: 752678809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14160 DALLAS PARKWAY
STREET 2: SUITE 300
CITY: DALLAS
STATE: TX
ZIP: 75254
BUSINESS PHONE: 9727705600
MAIL ADDRESS:
STREET 1: 14160 DALLAS PARKWAY
STREET 2: SUITE 300
CITY: DALLAS
STATE: TX
ZIP: 75254
3
1
form3.xml
X0206
3
2021-11-03
0
0001043000
CAPITAL SENIOR LIVING CORP
CSU
0001596522
Simanovsky Michael
25 DEFOREST AVENUE, 3RD FLOOR
SUMMIT
NJ
07901
true
true
0001850901
Conversant Capital LLC
25 DEFOREST AVENUE, 3RD FLOOR
SUMMIT
NJ
07901
true
true
0001892127
Conversant Dallas Parkway (A) LP
25 DEFOREST AVENUE, 3RD FLOOR
SUMMIT
NJ
07901
true
true
0001892128
Conversant Dallas Parkway (B) LP
25 DEFOREST AVENUE, 3RD FLOOR
SUMMIT
NJ
07901
true
true
0001850910
Conversant GP Holdings LLC
25 DEFOREST AVENUE, 3RD FLOOR
SUMMIT
NJ
07901
true
true
Common Stock
2803928
I
See Footnote
Common Stock
181553
I
See Footnote
Series A Convertible Preferred Stock
40
2021-11-03
Common Stock
968550
I
See Footnote
Series A Convertible Preferred Stock
40
2021-11-03
Common Stock
62700
I
See Footnote
Warrant
40
2021-11-03
2026-11-03
Common Stock
968538
I
See Footnote
Warrant
40
2021-11-03
2026-11-03
Common Stock
62712
I
See Footnote
This Form 3 is being filed jointly by Michael Simanovsky, a United States citizen; Conversant Capital LLC, a Delaware limited liability company ("Conversant Capital"); Conversant GP Holdings LLC, a Delaware limited liability company ("Conversant GP"); Conversant Dallas Parkway (A) LP, a Delaware limited partnership ("Investor A"); and Conversant Dallas Parkway (B) LP, a Delaware limited partnership ("Investor B") (collectively the filing persons are the "Reporting Persons").
Shares are held by Investor A. Conversant GP is the general partner of Investor A and Conversant Capital is the investment manager to Investor A. Mr. Simanovsky is the managing member of Conversant Capital, and Conversant GP. By virtue of these relationships, Mr. Simanovsky, Conversant Capital, and Conversant GP may be deemed a beneficial owner of the securities held by Investor A. Mr. Simanovsky, Conversant Capital, and Conversant GP each disclaims beneficial ownership of the securities held by Investor A except to the extent of his or its pecuniary interest therein.
Shares are held by Investor B. Conversant GP is the general partner of Investor B and Conversant Capital is the investment manager to Investor B. Mr. Simanovsky is the managing member of Conversant Capital, and Conversant GP. By virtue of these relationships, Mr. Simanovsky, Conversant Capital, and Conversant GP may be deemed a beneficial owner of the securities held by Investor B. Mr. Simanovsky, Conversant Capital, and Conversant GP each disclaims beneficial ownership of the securities held by Investor B except to the extent of his or its pecuniary interest therein.
There is no expiration date for the right of the holder of Series A Convertible Preferred Stock to convert.
Each share of Series A Preferred Stock is convertible, at the election of the holder thereof, into a number of shares of Common Stock equal to the quotient of (i) the sum of (a) $1,000 per share, plus (b) any dividends thereon paid in the form of an increase in the liquidation preference of such share, plus (c) all accrued and unpaid dividends thereon by (ii) the effective conversion price.
Max Levy, a Principal of Conversant Capital, serves as a member of the Issuer's board of directors. On the basis of the relationships between Mr. Levy and the Reporting Persons, each of the Reporting Persons may be considered a director of the Issuer for purposes of Section 16 of the Securities Exchange Act of 1934, as amended.
/s/ Michael J Simanovsky
2021-11-12
Conversant Capital /s/ Michael J Simanovsky
2021-11-12
Investor A /s/ Michael J Simanovsky
2021-11-12
Investor B /s/ Michael J Simanovsky
2021-11-12
Conversant GP /s/ Michael J Simanovsky
2021-11-12