-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Tx0KyQvlxVsu9mJlSnOc7j/tyTKaDzRFGGcpMrZCCOI1T/ddodhu/+DkSiRuR+/Q Q6UnJH++8Ux8w2/fUxpEzA== 0000899078-03-000633.txt : 20031205 0000899078-03-000633.hdr.sgml : 20031205 20031205185038 ACCESSION NUMBER: 0000899078-03-000633 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031204 FILED AS OF DATE: 20031205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRICKMAN DAVID R CENTRAL INDEX KEY: 0001257152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 031041315 MAIL ADDRESS: STREET 1: 14160 DALLAS PARWAY STREET 2: STE 300 CITY: DALLAS STATE: TX ZIP: 75254 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 PKWY STREET 2: STE 300 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 9727705600 MAIL ADDRESS: STREET 1: 14160 DALLAS PKWY STREET 2: STE 300 CITY: DALLAS STATE: TX ZIP: 75240 4 1 form4-dec03_ex.xml X0201 4 2003-12-04 0 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001257152 BRICKMAN DAVID R 14160 DALLAS PARWAY STE 300 DALLAS TX 75254 0 1 0 0 Vice Pres and General Counsel COMMON STOCK OPTION (RIGHT TO BUY) 6.30 2003-12-04 4 A 0 41120 A 2013-12-04 COMMON STOCK 41120 41120 D options will vest 33.33% on the date of grant, 33.33% on the first anniversary of the grant and 33.33% on the second anniversary of the grant. Not Applicable. /s/ David R. Brickman 2003-12-05 -----END PRIVACY-ENHANCED MESSAGE-----