0001185675-17-000002.txt : 20170427
0001185675-17-000002.hdr.sgml : 20170427
20170427163326
ACCESSION NUMBER: 0001185675-17-000002
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170427
FILED AS OF DATE: 20170427
DATE AS OF CHANGE: 20170427
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc.
CENTRAL INDEX KEY: 0001632970
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 472887436
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: 949-270-9200
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
FORMER COMPANY:
FORMER CONFORMED NAME: Griffin-American Healthcare REIT 4, Inc.
DATE OF NAME CHANGE: 20150428
FORMER COMPANY:
FORMER CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc.
DATE OF NAME CHANGE: 20150205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PEAY BRIAN
CENTRAL INDEX KEY: 0001185675
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55775
FILM NUMBER: 17789583
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE #300
CITY: IRVINE
STATE: CA
ZIP: 92612
3
1
wf-form3_149332518804554.xml
FORM 3
X0206
3
2017-04-27
1
0001632970
Griffin-American Healthcare REIT IV, Inc.
NONE
0001185675
PEAY BRIAN
C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV,
INC., 18191 VON KARMAN AVE., STE. 300
IRVINE
CA
92612
0
1
0
0
Chief Financial Officer
No shares beneficially owned by the reporting person.
/s/ BRIAN S. PEAY
2017-04-27