0000899243-19-005515.txt : 20190301
0000899243-19-005515.hdr.sgml : 20190301
20190301183119
ACCESSION NUMBER: 0000899243-19-005515
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190301
FILED AS OF DATE: 20190301
DATE AS OF CHANGE: 20190301
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: 19651167
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 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
2019-03-01
0
0001043000
CAPITAL SENIOR LIVING CORP
CSU
0001257152
BRICKMAN DAVID R
14160 DALLAS PARKWAY
SUITE 300
DALLAS
TX
75254
0
1
0
0
SVP Gen. Counsel & Secretary
Common Stock
2019-03-01
4
D
0
1368
0.00
D
250500
D
Represents shares of performance-based restricted stock that were previously reported as beneficially owned by the reporting person as of February 24, 2016, but were subsequently forfeited due to the Company achieving 82.5% (but not 100%) of the performance target with respect to such shares for fiscal 2018.
/s/ David R. Brickman
2019-03-01