0001144204-18-063176.txt : 20181204 0001144204-18-063176.hdr.sgml : 20181204 20181204191623 ACCESSION NUMBER: 0001144204-18-063176 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20181128 FILED AS OF DATE: 20181204 DATE AS OF CHANGE: 20181204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHANG JUSTIN T CENTRAL INDEX KEY: 0001180378 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55190 FILM NUMBER: 181218277 MAIL ADDRESS: STREET 1: 301 COMMERCE STREET STREET 2: SUITE 3300 CITY: FORT WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NorthStar Healthcare Income, Inc. CENTRAL INDEX KEY: 0001503707 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 273663988 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 590 MADISON AVENUE, 34TH FLOOR STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-547-2600 MAIL ADDRESS: STREET 1: 590 MADISON AVENUE, 34TH FLOOR STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: NorthStar Healthcare Income Trust, Inc. DATE OF NAME CHANGE: 20120404 FORMER COMPANY: FORMER CONFORMED NAME: NorthStar Senior Care Trust, Inc. DATE OF NAME CHANGE: 20101119 FORMER COMPANY: FORMER CONFORMED NAME: NorthStar Healthcare Trust, Inc. DATE OF NAME CHANGE: 20101018 3 1 tv508478_form3.xml OWNERSHIP DOCUMENT X0206 3 2018-11-28 1 0001503707 NorthStar Healthcare Income, Inc. [NONE] 0001180378 CHANG JUSTIN T C/O NORTHSTAR HEALTHCARE INCOME, INC. 590 MADISON AVENUE, 34TH FLOOR NEW YORK NY 10022 1 1 0 0 Chairman See Exhibit 24 Power of Attorney /s/ Ann B. Harrington, as Attorney-in-Fact for Justin Chang 2018-12-04 EX-24 2 tv508478_ex24.htm POWER OF ATTORNEY

 

Exhibit 24

 

POWER OF ATTORNEY

 

 

KNOW ALL PERSONS BY THESE PRESENTS that the undersigned hereby constitutes, designates and appoints Ronald J. Jeanneault, Frank V Saracino and Ann B. Harrington and each of them severally, as such person's true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution and full power to act, for the undersigned and in the undersigned's name, place and stead, in any and all capacities, to execute, acknowledge, deliver and file any and all filings required by the Securities Exchange Act of 1934, as amended, including Section 16 of such act, and the rules and regulations thereunder, and requisite documents in connection with such filings, respecting securities of NorthStar Healthcare Income, Inc., a Maryland corporation, including but not limited to Form ID and Forms 3, 4 and 5 under such act and any amendments thereto.

 

This power of attorney shall be valid from the date hereof until revoked by the undersigned.

 

IN WITNESS WHEREOF, the undersigned has executed this instrument as of this 19th day of November 2018.

 

/s/ Justin Chang

____________________________________

Name: Justin Chang