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