0001125376-21-000148.txt : 20211019 0001125376-21-000148.hdr.sgml : 20211019 20211019184136 ACCESSION NUMBER: 0001125376-21-000148 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211019 DATE AS OF CHANGE: 20211019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH BARRY M CENTRAL INDEX KEY: 0001212067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33757 FILM NUMBER: 211332250 MAIL ADDRESS: STREET 1: 4800 N SCOTTSDALE RD STREET 2: SUITE 5000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 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: 29222 RANCHO VIEJO RD. STREET 2: SUITE 127 CITY: SAN JUAN CAPISTRANO STATE: CA ZIP: 92675 BUSINESS PHONE: (949) 487-9500 MAIL ADDRESS: STREET 1: 29222 RANCHO VIEJO RD. STREET 2: SUITE 127 CITY: SAN JUAN CAPISTRANO STATE: CA ZIP: 92675 FORMER COMPANY: FORMER CONFORMED NAME: ENSIGN GROUP INC DATE OF NAME CHANGE: 20000930 4 1 wf-form4_163468328329287.xml FORM 4 X0306 4 2021-10-15 0 0001125376 ENSIGN GROUP, INC ENSG 0001212067 SMITH BARRY M 29222 RANCHO VIEJO ROAD SUITE 127 SAN JUAN CAPISTRANO CA 92675 1 0 0 0 Common Stock 2021-10-15 4 A 0 875 0 A 24000 D These shares vest in three equal annual installments beginning October 15, 2022. /s/ Chad A. Keetch, as power of attorney 2021-10-19