0000899243-21-013680.txt : 20210326 0000899243-21-013680.hdr.sgml : 20210326 20210326161525 ACCESSION NUMBER: 0000899243-21-013680 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210324 FILED AS OF DATE: 20210326 DATE AS OF CHANGE: 20210326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Falke Jeremy CENTRAL INDEX KEY: 0001729081 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 21777587 MAIL ADDRESS: STREET 1: 14160 DALLAS PARKWAY, SUITE 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 2021-03-24 0 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001729081 Falke Jeremy 14160 DALLAS PARKWAY SUITE 300 DALLAS TX 75254 0 1 0 0 SVP-Human Resources Common Stock 2021-03-24 4 A 0 3745 0.00 A 6506 D Common Stock 2021-03-24 4 A 0 5618 0.00 A 12124 D Represents shares of restricted stock granted on March 24, 2021 under the 2019 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (the "Plan"), which are scheduled to vest in three installments of 33%, 33% and 34% on March 24, 2022, March 24, 2023 and March 24, 2024, respectively. Represents shares of performance-based restricted stock granted on March 24, 2021 under the Plan, which vest subject to the satisfaction of certain performance conditions for the years ending December 31, 2021, December 31, 2022 and December 31, 2023 (but does not include additional shares of performance-based restricted stock that are subject to achievement of certain maximum performance objectives). /s/ Jeremy Falke 2021-03-26