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