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