0001371918-22-000002.txt : 20220208
0001371918-22-000002.hdr.sgml : 20220208
20220208160614
ACCESSION NUMBER: 0001371918-22-000002
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220208
DATE AS OF CHANGE: 20220208
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hanson Jeffrey T
CENTRAL INDEX KEY: 0001371918
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55775
FILM NUMBER: 22601618
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Healthcare REIT, 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 IV, Inc.
DATE OF NAME CHANGE: 20151231
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
5
1
wf-form5_164435433925513.xml
FORM 5
X0306
5
2021-12-31
0
0
0
0001632970
American Healthcare REIT, Inc.
NONE
0001371918
Hanson Jeffrey T
C/O AMERICAN HEALTHCARE REIT, INC.
18191 VON KARMAN AVE., STE. 300
IRVINE
CA
92612
1
1
0
0
Executive Chairman of the BOD
Class I Common Stock
51208
D
Class I Common Stock
175275
I
By Hanson Family Trust DTD 06/14/2005
Class I Common Stock
20755
I
By April L. Hanson IRA
Class I Common Stock
10062
I
By 401(k) Plan
Class I Common Stock
66880
I
By Defined Benefit Pension Plan
Class I Common Stock
3964
I
NCT-107, LLC
Class T Common Stock
71331
D
Class T Common Stock
20206
I
By Hanson Family Trust DTD 06/14/2005
Class T Common Stock
1458
I
By April L. Hanson IRA
Class T Common Stock
2917
I
By Crescentridge Inc 401K Plan
Class T Common Stock
19479
I
By JTH Holdings LLC DBPP
On December 21, 2021, Jeffrey T. Hanson transferred 383 shares of common stock to Hanson Family Trust DTD 6/14/2005, a trust in which Mr. Hanson serves as trustee.
The reported shares of common stock are held directly by Hanson Family Trust DTD 6/14/2005, and indirectly by Mr. Hanson and April L Hanson, Trustees.
The reported shares of common stock are owned by April L. Hanson through her investment retirement account. April L. Hanson is the wife of the reporting person.
The reported shares of common stock are owned by Mr. Hanson through his 401(k) plan.
The reported shares of common stock are held directly in a defined benefit pension plan, of which Mr. Hanson serves as trustee.
The reported shares of common stock are owned directly by NCT-107, LLC, a charitable foundation of which Mr. Hanson is the manager. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for the purposes of Section 16 or for any other purpose.
The reported shares of common stock are owned by Mr. Hanson through his 401(k) plan for which Mr. Hanson and April L. Hanson serve as trustees.
The reported shares of common stock are held directly in a defined benefit pension plan, of which Mr. Hanson serves as Trustee.
/s/ JEFFREY T. HANSON
2022-02-08