0001332349-21-000041.txt : 20210224
0001332349-21-000041.hdr.sgml : 20210224
20210224211242
ACCESSION NUMBER: 0001332349-21-000041
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210222
FILED AS OF DATE: 20210224
DATE AS OF CHANGE: 20210224
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: White Chad C.
CENTRAL INDEX KEY: 0001706042
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32641
FILM NUMBER: 21676130
MAIL ADDRESS:
STREET 1: 111 WESTWOOD PLACE, SUITE 400
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
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_161421914724146.xml
FORM 4
X0306
4
2021-02-22
0
0001332349
Brookdale Senior Living Inc.
BKD
0001706042
White Chad C.
111 WESTWOOD PLACE, SUITE 400
BRENTWOOD
TN
37027
0
1
0
0
EVP, General Counsel & Sec'y
Common Stock
2021-02-22
4
A
0
63360
0
A
233446
D
Common Stock
2021-02-22
4
D
0
21470
D
211976
D
Grant of time-based restricted stock units under the Brookdale Senior Living Inc. Amended and Restated 2014 Omnibus Incentive Plan. Such restricted stock units are eligible to vest ratably in four annual installments beginning February 27, 2022, subject to continued employment. Each restricted stock unit is generally payable in the form of one share of the issuer's common stock upon vesting.
Represents the reporting person's voluntary forfeiture of a portion of the performance-based restricted common stock granted to the reporting person in 2019 in order to become eligible to receive a discretionary cash bonus following the conclusion of fiscal 2020.
/s/ Chad C. White
2021-02-24