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