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