0001104659-19-033455.txt : 20190603 0001104659-19-033455.hdr.sgml : 20190603 20190603165219 ACCESSION NUMBER: 0001104659-19-033455 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190601 FILED AS OF DATE: 20190603 DATE AS OF CHANGE: 20190603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Leer Jeffrey C. CENTRAL INDEX KEY: 0001760499 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16817 FILM NUMBER: 19873906 MAIL ADDRESS: STREET 1: C/O FIVE STAR SENIOR LIVING INC. STREET 2: 400 CENTRE STREET CITY: NEWTON STATE: MA ZIP: 02458 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 3 1 a3.xml 3 X0206 3 2019-06-01 0 0001159281 FIVE STAR SENIOR LIVING INC. NASDAQ:FVE 0001760499 Leer Jeffrey C. C/O FIVE STAR SENIOR LIVING INC. 400 CENTRE STREET NEWTON MA 02458 0 1 0 0 CFO and Treasurer Common Shares of Beneficial Interest 1368 D /s/ Jeffrey C. Leer 2019-06-03