0001332349-19-000066.txt : 20190509 0001332349-19-000066.hdr.sgml : 20190509 20190509181148 ACCESSION NUMBER: 0001332349-19-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190508 FILED AS OF DATE: 20190509 DATE AS OF CHANGE: 20190509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson May Diane CENTRAL INDEX KEY: 0001553548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32641 FILM NUMBER: 19812140 MAIL ADDRESS: STREET 1: C/O KRAFT FOODS GROUP, INC. STREET 2: THREE LAKES DRIVE CITY: NORTHFIELD STATE: IL ZIP: 60093 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 4 1 wf-form4_155743989312580.xml FORM 4 X0306 4 2019-05-08 0 0001332349 Brookdale Senior Living Inc. BKD 0001553548 Johnson May Diane 111 WESTWOOD PLACE, SUITE 400 BRENTWOOD TN 37027 0 1 0 0 EVP, Human Resources Common Stock 2019-05-08 4 A 0 23802 0 A 23802 D Common Stock 2019-05-08 4 A 0 17851 0 A 41653 D Common Stock 2019-05-08 4 A 0 5950 0 A 47603 D Grant of time-based vesting restricted common stock under the Amended and Restated Brookdale Senior Living Inc. 2014 Omnibus Incentive Plan (the "2014 Plan"). Grant of performance-based vesting restricted common stock under the 2014 Plan. The number of shares that will vest will be based on achievement of performance goals established by the Compensation Committee. Any performance-based shares that do not vest at the conclusion of the applicable performance period will be forfeited. /s/ J. Daniel Huffines, By Power of Attorney 2019-05-09