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