0001371918-18-000034.txt : 20180911
0001371918-18-000034.hdr.sgml : 20180911
20180911182729
ACCESSION NUMBER: 0001371918-18-000034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180907
FILED AS OF DATE: 20180911
DATE AS OF CHANGE: 20180911
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hanson Jeffrey T
CENTRAL INDEX KEY: 0001371918
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55775
FILM NUMBER: 181065709
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc.
CENTRAL INDEX KEY: 0001632970
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 472887436
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: 949-270-9200
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
FORMER COMPANY:
FORMER CONFORMED NAME: Griffin-American Healthcare REIT 4, Inc.
DATE OF NAME CHANGE: 20150428
FORMER COMPANY:
FORMER CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc.
DATE OF NAME CHANGE: 20150205
4
1
wf-form4_153670483189339.xml
FORM 4
X0306
4
2018-09-07
0
0001632970
Griffin-American Healthcare REIT IV, Inc.
NONE
0001371918
Hanson Jeffrey T
C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV,
INC., 18191 VON KARMAN AVE., STE. 300
IRVINE
CA
92612
1
1
0
0
CEO & Chairman of the Board
Class I Common Stock
2018-09-07
4
P
0
1216
9.65
A
53654
I
By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005
Class T Common Stock
2188
D
Class T Common Stock
20206
I
By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005
Class T Common Stock
1458
I
By April Hanson IRA
Class T Common Stock
2917
I
By Crescentridge Inc 401K Plan
Class T Common Stock
19479
I
By JTH Holdings LLC DBPP
Class T Common Stock
20833
I
By Griffin-American Healthcare REIT IV Advisor, LLC
The reported shares of Class I common stock were acquired at $9.65 per share by Mr. Hanson pursuant to an Executive Stock Purchase Plan between Mr. Hanson and the Issuer, entered into on 12/31/2017
The reported shares of Class I common stock are held directly by Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005, and indirectly by Mr. Hanson and April L Hanson, Trustees.
The reported shares of Class T common stock are held directly by Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005, and indirectly by Mr. Hanson and April L Hanson, Trustees.
The reported shares of Class T common stock are owned by April Hanson through her investment retirement account. April Hanson is the wife of the reporting person.
The reported shares of Class T common stock are owned by Mr. Hanson through his 401(k) plan.
The reported shares of Class T common stock are held directly in a defined benefit pension plan, of which Mr. Hanson serves as Trustee.
The reported shares of Class T common stock are owned by Griffin-American Healthcare REIT IV Advisor, LLC ("GAHRIV Advisor"). Mr. Hanson serves as a managing director of American Healthcare Investors, LLC, the managing member of GAHRIV Advisor, and as such, may be deemed to be the beneficial owner of such common stock. Mr. Hanson disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ JEFFREY T. HANSON
2018-09-11