0001140361-17-010076.txt : 20170301 0001140361-17-010076.hdr.sgml : 20170301 20170301185444 ACCESSION NUMBER: 0001140361-17-010076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170227 FILED AS OF DATE: 20170301 DATE AS OF CHANGE: 20170301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Brookdale Senior Living Inc. CENTRAL INDEX KEY: 0001332349 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 203068069 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: (615) 221-2250 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE STREET 2: SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Thomas Andrew CENTRAL INDEX KEY: 0001377740 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 17656329 MAIL ADDRESS: STREET 1: 111 WESTWOOD PLACE, SUITE 400 CITY: BRENTWOOD STATE: TN ZIP: 37027 4 1 doc1.xml FORM 4 X0306 4 2017-02-27 0 0001332349 Brookdale Senior Living Inc. BKD 0001377740 Smith Thomas Andrew 111 WESTWOOD PLACE SUITE 400 BRENTWOOD TN 37027 1 1 0 0 President and CEO Common Stock 2017-02-27 4 F 0 46993 14.63 D 950061 D Common Stock 2017-02-27 4 D 0 45122 0 D 904939 D Represents share withholding to satisfy tax withholding obligations due upon the vesting of restricted stock previously granted to the reporting person. Represents the forfeiture of a portion of the restricted shares granted to the reporting person in 2014 due to the failure to achieve performance goals established by the Compensation Committee. /s/ Chad C. White, By Power of Attorney 2017-03-01