0001104659-20-071999.txt : 20200610
0001104659-20-071999.hdr.sgml : 20200610
20200610160236
ACCESSION NUMBER: 0001104659-20-071999
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200609
FILED AS OF DATE: 20200610
DATE AS OF CHANGE: 20200610
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GANS BRUCE M.
CENTRAL INDEX KEY: 0001243968
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16817
FILM NUMBER: 20954692
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: GANS BRUCE M
DATE OF NAME CHANGE: 20030619
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
4
1
a4.xml
4
X0306
4
2020-06-09
0
0001159281
FIVE STAR SENIOR LIVING INC.
NASDAQ:FVE
0001243968
GANS BRUCE M.
C/O FIVE STAR SENIOR LIVING INC.,
400 CENTRE STREET
NEWTON
MA
02458
1
0
0
0
Common Stock
2020-06-09
4
A
0
5000
0
A
18194
D
Transaction reported is grant of shares pursuant to issuer's equity compensation plan.
On September 30, 2019, the Issuer effected a reverse stock split (the "Reverse Split") pursuant to which every ten Common Shares were converted and reclassified into one Common Share, subject to the receipt of cash in lieu of fractional shares. The amount in the table reflects the aggregate shares owned after giving effect to the Reverse Split.
/s/ Bruce M. Gans
2020-06-10