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