0001185675-18-000004.txt : 20180209
0001185675-18-000004.hdr.sgml : 20180209
20180209120322
ACCESSION NUMBER: 0001185675-18-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180207
FILED AS OF DATE: 20180209
DATE AS OF CHANGE: 20180209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PEAY BRIAN
CENTRAL INDEX KEY: 0001185675
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55775
FILM NUMBER: 18589866
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE #300
CITY: IRVINE
STATE: CA
ZIP: 92612
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
4
1
wf-form4_151819578728649.xml
FORM 4
X0306
4
2018-02-07
0
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
Class I Common Stock
2018-02-07
4
P
0
101
9.21
A
1103
I
By Brian and Kristen Peay 2007 Trust DTD 06/26/2007
The reported shares of Class I common stock were acquired at $9.21 per share by Mr. Peay pursuant to an Executive Stock Purchase Plan between Mr. Peay and the Issuer, entered into on 12/31/2017.
The reported shares of Class I common stock are held directly by Brian and Kristen Peay 2007 Trust DTD 06/26/2007, and indirectly by Mr. Peay and Kristen Peay, Trustees.
/s/ BRIAN S. PEAY
2018-02-09