0001631219-17-000001.txt : 20170615 0001631219-17-000001.hdr.sgml : 20170615 20170615154910 ACCESSION NUMBER: 0001631219-17-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170614 FILED AS OF DATE: 20170615 DATE AS OF CHANGE: 20170615 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Genesis Healthcare, Inc. CENTRAL INDEX KEY: 0001351051 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 BUSINESS PHONE: 610-444-6350 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 FORMER COMPANY: FORMER CONFORMED NAME: Skilled Healthcare Group, Inc. DATE OF NAME CHANGE: 20070209 FORMER COMPANY: FORMER CONFORMED NAME: SHG Holding Solutions Inc DATE OF NAME CHANGE: 20060126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hirschfeld Daniel Allen CENTRAL INDEX KEY: 0001631219 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33459 FILM NUMBER: 17913483 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-06-14 0 0001351051 Genesis Healthcare, Inc. GEN 0001631219 Hirschfeld Daniel Allen C/O GENESIS HEALTHCARE, INC. 101 EAST STATE STREET KENNETT SQUARE PA 19348 0 1 0 0 COO Int'l. Oper. & Rehab Svcs. Class A Common Stock 2017-06-14 4 S 0 7245 1.7296 D 623821 D The sales reported in this Form 4 were effected to satisfy the reporting person's income tax obligations with respect to the vesting of a restricted stock unit award. Includes 284,416 unvested restricted stock units that have not yet been paid in shares of the Issuer's Class A Common Stock. By: Michael Berg, Attorney-in-Fact For: Daniel Allen Hirschfeld 2017-06-15