0001125376-19-000027.txt : 20190214
0001125376-19-000027.hdr.sgml : 20190214
20190214190152
ACCESSION NUMBER: 0001125376-19-000027
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190214
DATE AS OF CHANGE: 20190214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keetch Chad
CENTRAL INDEX KEY: 0001609878
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33757
FILM NUMBER: 19609209
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL
STREET 2: SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ENSIGN GROUP, INC
CENTRAL INDEX KEY: 0001125376
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 330861263
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
BUSINESS PHONE: (949) 487-9500
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
FORMER COMPANY:
FORMER CONFORMED NAME: ENSIGN GROUP INC
DATE OF NAME CHANGE: 20000930
5
1
wf-form5_155018884529969.xml
FORM 5
X0306
5
2018-12-31
0
0
0
0001125376
ENSIGN GROUP, INC
ENSG
0001609878
Keetch Chad
27101 PUERTA REAL
SUITE 450
MISSION VIEJO
CA
92691
0
1
0
0
Executive VP and Secretary
Common Stock
2018-05-03
5
G
0
4300
0
D
63468
D
Common Stock
2018-11-28
5
G
0
3525
0
D
59943
D
/s/ Chad A. Keetch
2019-02-14