0001766400-21-000056.txt : 20210419 0001766400-21-000056.hdr.sgml : 20210419 20210419184035 ACCESSION NUMBER: 0001766400-21-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210415 FILED AS OF DATE: 20210419 DATE AS OF CHANGE: 20210419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEWIS RODERIC W CENTRAL INDEX KEY: 0001202362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38900 FILM NUMBER: 21835767 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Pennant Group, Inc. CENTRAL INDEX KEY: 0001766400 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150 CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 2089576025 MAIL ADDRESS: STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150 CITY: EAGLE STATE: ID ZIP: 83616 4 1 wf-form4_161887202301317.xml FORM 4 X0306 4 2021-04-15 0 0001766400 Pennant Group, Inc. PNTG 0001202362 LEWIS RODERIC W C/O THE PENNANT GROUP, INC. 1675 E. RIVERSIDE DRIVE, SUITE 150 EAGLE ID 83616 1 0 0 0 Common Stock 2021-04-15 4 A 0 750 0 A 5250 D These shares vest in three annual installments beginning April 15, 2022. /s/ Derek J. Bunker, as attorney-in-fact 2021-04-19