0001104659-16-157012.txt : 20161114
0001104659-16-157012.hdr.sgml : 20161111
20161114173812
ACCESSION NUMBER: 0001104659-16-157012
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161111
FILED AS OF DATE: 20161114
DATE AS OF CHANGE: 20161114
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
STATE OF INCORPORATION: MD
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 STREET
CITY: NEWTON
STATE: MA
ZIP: 02458
FORMER COMPANY:
FORMER CONFORMED NAME: FIVE STAR QUALITY CARE INC
DATE OF NAME CHANGE: 20010918
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PORTNOY ADAM D.
CENTRAL INDEX KEY: 0001273871
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16817
FILM NUMBER: 161996392
MAIL ADDRESS:
STREET 1: C/O THE RMR GROUP LLC
STREET 2: TWO NEWTON PL., 255 WASH. ST., STE. 300
CITY: NEWTON
STATE: MA
ZIP: 02458
FORMER NAME:
FORMER CONFORMED NAME: PORTNOY ADAM D
DATE OF NAME CHANGE: 20160607
FORMER NAME:
FORMER CONFORMED NAME: PORTNOY ADAM
DATE OF NAME CHANGE: 20031218
3
1
a3.xml
3
X0206
3
2016-11-11
0
0001159281
FIVE STAR QUALITY CARE, INC.
NASDAQ:FVE
0001273871
PORTNOY ADAM D.
C/O THE RMR GROUP LLC
TWO NEWTON PL., 255 WASH. ST., STE. 300
NEWTON
MA
02458
0
0
1
0
Common Stock
108000
D
Common Stock
17999999
I
See footnote
These shares are held by ABP Acquisition LLC. ABP Acquisition LLC is a wholly owned subsidiary of ABP Trust; Mr. Portnoy, as a trustee, officer and beneficial owner of ABP Trust, may be deemed to be a beneficial owner of these shares, but Mr. Portnoy disclaims such beneficial ownership except to the extent of his pecuniary interest therein.
/s/ Adam D. Portnoy
2016-11-14