0000899243-19-013896.txt : 20190516
0000899243-19-013896.hdr.sgml : 20190516
20190516194807
ACCESSION NUMBER: 0000899243-19-013896
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190514
FILED AS OF DATE: 20190516
DATE AS OF CHANGE: 20190516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HENDRICKSON CAREY P
CENTRAL INDEX KEY: 0001482760
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13445
FILM NUMBER: 19833899
MAIL ADDRESS:
STREET 1: 400 S. RECORD STREET
CITY: DALLAS
STATE: TX
ZIP: 75202
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
2019-05-14
0
0001043000
CAPITAL SENIOR LIVING CORP
CSU
0001482760
HENDRICKSON CAREY P
14160 DALLAS PARKWAY
SUITE 300
DALLAS
TX
75254
0
1
0
0
Executive Vice President & CFO
Common Stock
2019-05-14
4
A
0
41314
0.00
A
298554
D
Common Stock
2019-05-14
4
A
0
61972
0.00
A
360526
D
Represents shares of restricted stock granted on May 14, 2019 under the Company's 2019 Omnibus Stock and Incentive Plan (the "Plan"), which vest in three installments of 33%, 33% and 34% on May 14, 2020, May 14, 2021 and May 14, 2022, respectively.
Represents shares of performance-based restricted stock granted on May 14, 2019 under the Plan, which vest subject to the satisfaction of certain performance conditions upon the later of (i) the third anniversary of the grant date or (ii) the date that the Compensation Committee of the Company's Board certifies that such performance conditions have been satisfied.
/s/ Carey P. Hendrickson
2019-05-15