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