0001133713-18-000001.txt : 20180606 0001133713-18-000001.hdr.sgml : 20180606 20180606135110 ACCESSION NUMBER: 0001133713-18-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180606 FILED AS OF DATE: 20180606 DATE AS OF CHANGE: 20180606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLOEM JAMES H CENTRAL INDEX KEY: 0001133713 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33459 FILM NUMBER: 18883537 MAIL ADDRESS: STREET 1: 500 WEST MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Genesis Healthcare, Inc. CENTRAL INDEX KEY: 0001351051 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 BUSINESS PHONE: 610-444-6350 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 FORMER COMPANY: FORMER CONFORMED NAME: Skilled Healthcare Group, Inc. DATE OF NAME CHANGE: 20070209 FORMER COMPANY: FORMER CONFORMED NAME: SHG Holding Solutions Inc DATE OF NAME CHANGE: 20060126 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-06-06 0 0001351051 Genesis Healthcare, Inc. GEN 0001133713 BLOEM JAMES H 500 WEST MAIN STREET LOUISVILLE KY 40202 1 0 0 0 Class A Common Stock 2018-06-06 4 A 0 68650 0 A 180452 D Grant of restricted stock units under the Issuer's 2015 Omnibus Equity Incentive Plan. Includes 68,650 unvested restricted stock units and 52,000 vested restricted stock units that have not yet been paid in shares of the Issuer's Class A Common Stock. Michael Berg, Attorney-in-Fact for: James H. Bloem 2018-06-06