0000899243-19-000812.txt : 20190109
0000899243-19-000812.hdr.sgml : 20190109
20190109092922
ACCESSION NUMBER: 0000899243-19-000812
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190107
FILED AS OF DATE: 20190109
DATE AS OF CHANGE: 20190109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HERMAN KIMBERLY
CENTRAL INDEX KEY: 0001187068
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 19517433
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-01-07
0
0001043000
CAPITAL SENIOR LIVING CORP
CSU
0001187068
HERMAN KIMBERLY
14160 DALLAS PARKWAY
SUITE 300
DALLAS
TX
75254
1
1
0
0
President & CEO
Common Stock
2019-01-07
4
A
0
73620
0.00
A
104575
D
Common Stock
2019-01-07
4
A
0
368098
0.00
A
472673
D
Non-qualified Stock Option (Right to Buy)
7.46
2019-01-07
4
A
0
147239
0.00
A
2029-01-07
Common Stock
147239
147239
D
Represents shares of restricted stock granted on January 7, 2019 which are scheduled to vest in three installments of 33%, 33% and 34% on January 7, 2020, January 7, 2021 and January 7, 2022, respectively.
Represents shares of performance-based restricted stock, consisting of 147,239 shares that will vest upon achievement of the target performance objective and an additional 220,859 shares that are issuable upon achievement of the maximum performance objective.
The option is scheduled to vest in three installments of 33%, 33% and 34% on January 7, 2020, January 7, 2021 and January 7, 2022, respectively.
/s/ Kimberly S. Lody
2019-01-09