0001133713-19-000001.txt : 20190605
0001133713-19-000001.hdr.sgml : 20190605
20190605145146
ACCESSION NUMBER: 0001133713-19-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190605
FILED AS OF DATE: 20190605
DATE AS OF CHANGE: 20190605
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: 19879526
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
2019-06-05
0
0001351051
Genesis Healthcare, Inc.
GEN
0001133713
BLOEM JAMES H
C/O GENESIS HEALTHCARE, INC.
101 EAST STATE STREET
KENNETT SQUARE
PA
19348
1
0
0
0
Class A Common Stock
2019-06-05
4
A
0
124079
0
A
304531
D
Grant of restricted stock units under the Issuer's 2015 Omnibus Equity Incentive Plan.
Includes 124,079 unvested restricted stock units and 120,650 vested restricted stock units that have not yet been paid in shares of the Issuer's Class A Common Stock.
By: Michael Berg, Attorney-in-Fact for: James H. Bloem
2019-06-05