0001104659-15-084670.txt : 20151214 0001104659-15-084670.hdr.sgml : 20151214 20151214162527 ACCESSION NUMBER: 0001104659-15-084670 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151214 FILED AS OF DATE: 20151214 DATE AS OF CHANGE: 20151214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIVE STAR QUALITY CARE INC CENTRAL INDEX KEY: 0001159281 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 043516029 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 CENTRE STREET CITY: NEWTON STATE: MA ZIP: 02458 BUSINESS PHONE: 617 796 8387 MAIL ADDRESS: STREET 1: 400 CENTRE ST CITY: NEWTON STATE: MA ZIP: 02458 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Potter Katherine E. CENTRAL INDEX KEY: 0001543460 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16817 FILM NUMBER: 151286245 MAIL ADDRESS: STREET 1: C/O FIVE STAR QUALITY CARE, INC. STREET 2: 400 CENTRE STREET CITY: NEWTON STATE: MA ZIP: 02458 4 1 a4.xml 4 X0306 4 2015-12-14 0 0001159281 FIVE STAR QUALITY CARE INC NYSE: FVE 0001543460 Potter Katherine E. C/O FIVE STAR QUALITY CARE, INC., 400 CENTRE STREET NEWTON MA 02458 0 1 0 0 VP, General Counsel & Asst Sec Common Stock 2015-12-14 4 A 0 20000 A 66000 D Transaction reported is grant of shares pursuant to the issuer's equity compensation plan. /s/ Katherine E. Potter 2015-12-14