0001140361-21-018419.txt : 20210521 0001140361-21-018419.hdr.sgml : 20210521 20210521175828 ACCESSION NUMBER: 0001140361-21-018419 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levin Ross B CENTRAL INDEX KEY: 0001459880 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 21950453 MAIL ADDRESS: STREET 1: 530 FIFTH AVENUE, 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 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 form4.xml FORM 4 X0306 4 2021-05-19 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001459880 Levin Ross B C/O ARBITER PARTNERS CAPITAL MANAGEMENT 530 FIFTH AVENUE NEW YORK NY 10036 true Common Stock 2021-05-19 4 A 0 1422 0 A 4550 D Represents an award of Restricted Stock Units. On December 11, 2020, the Common Stock of CSU split 1-for-15, resulting in a reduction in the number of shares of Common Stock beneficially owned by the Reporting Person. Includes all shares of CSU Common Stock and Restricted Stock Units beneficially owned by the Reporting Person, including 19,947 Restricted Stock Units (or 1,329 Restricted Stock Units when adjusted for the reverse stock split referred to above in footnote 1) previously reported on Table II. /s/ Ross B. Levin 2021-05-21