0000899243-21-020148.txt : 20210520 0000899243-21-020148.hdr.sgml : 20210520 20210520161600 ACCESSION NUMBER: 0000899243-21-020148 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210520 DATE AS OF CHANGE: 20210520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brooks Philip A CENTRAL INDEX KEY: 0001492936 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 21944662 MAIL ADDRESS: STREET 1: 14160 DALLAS PARKWAY STREET 2: 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 2021-05-19 0 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001492936 Brooks Philip A 14160 DALLAS PARKWAY SUITE 300 DALLAS TX 75254 1 0 0 0 Common Stock 2021-05-19 4 A 0 1422 0.00 A 6809 D Common Stock 418 I by Philip A. Brooks Revocable Trust Shares scheduled to vest in full on May 19, 2022, which is the first anniversary of the grant date. /s/ Philip A. Brooks 2021-05-20