0001209191-12-002623.txt : 20120106 0001209191-12-002623.hdr.sgml : 20120106 20120106191106 ACCESSION NUMBER: 0001209191-12-002623 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120105 FILED AS OF DATE: 20120106 DATE AS OF CHANGE: 20120106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRICKMAN DAVID R CENTRAL INDEX KEY: 0001257152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13445 FILM NUMBER: 12515756 MAIL ADDRESS: STREET 1: 14160 DALLAS PARWAY STREET 2: STE 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 c26569_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2012-01-05 0001043000 CAPITAL SENIOR LIVING CORP CSU 0001257152 BRICKMAN DAVID R 14160 DALLAS PARKWAY SUITE 300 DALLAS TX 75254 0 1 0 0 VP General Counsel & Secretary Common Stock 2012-01-05 4 A 0 35000 0 A 94900 D Shares of restricted stock granted pursuant to the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation. Vests in three installments of 33%, 33% and 34% on January 5, 2013, January 5, 2014 and January 5, 2015, respectively. /s/ David R. Brickman 2012-01-06