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