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