0001104659-17-032868.txt : 20170515
0001104659-17-032868.hdr.sgml : 20170515
20170515183346
ACCESSION NUMBER: 0001104659-17-032868
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170515
FILED AS OF DATE: 20170515
DATE AS OF CHANGE: 20170515
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIVE STAR SENIOR LIVING 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: 20161006
FORMER COMPANY:
FORMER CONFORMED NAME: FIVE STAR QUALITY CARE INC
DATE OF NAME CHANGE: 20010918
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MARTIN GERARD M.
CENTRAL INDEX KEY: 0001241557
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16817
FILM NUMBER: 17846504
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: MARTIN GERARD M
DATE OF NAME CHANGE: 20030613
4
1
a4.xml
4
X0306
4
2017-05-15
0
0001159281
FIVE STAR SENIOR LIVING INC.
NASDAQ:FVE
0001241557
MARTIN GERARD M.
C/O THE RMR GROUP LLC
TWO NEWTON PL., 255 WASH. ST., STE. 300
NEWTON
MA
02458
1
0
0
0
Common Stock
2017-05-15
4
A
0
12500
A
231750
D
Common Stock
12371.9
I
See footnote
Transaction reported is grant of shares pursuant to the issuer's equity compensation plan.
A corporation that is controlled by a grantor trust, of which Mr. Martin is a trustee, owns these shares.
/s/ Gerard M. Martin
2017-05-15