0001766400-23-000118.txt : 20231018
0001766400-23-000118.hdr.sgml : 20231018
20231018190106
ACCESSION NUMBER: 0001766400-23-000118
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231016
FILED AS OF DATE: 20231018
DATE AS OF CHANGE: 20231018
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Christensen Christopher R.
CENTRAL INDEX KEY: 0001417555
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38900
FILM NUMBER: 231333099
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pennant Group, Inc.
CENTRAL INDEX KEY: 0001766400
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 2089576025
MAIL ADDRESS:
STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
wk-form4_1697670057.xml
FORM 4
X0508
4
2023-10-16
0
0001766400
Pennant Group, Inc.
PNTG
0001417555
Christensen Christopher R.
C/O THE PENNANT GROUP, INC.
1675 EAST RIVERSIDE DRIVE, SUITE 150
EAGLE
ID
83616
1
0
0
0
0
Common Stock
2023-10-16
4
A
0
1500
0
A
162905
D
Common Stock
581133
I
See Footnote
These shares vest in three annual installments beginning October 16, 2024.
Of these shares, 450,862 shares are held by Hobble Creek Investments, LLC, of which Mr. Christensen is the sole member, 126,100 shares are directly owned by The Christopher R. Christensen 2020 Irrevocable Trust, and indirectly by Mr. Christensen's spouse, as trustee of the trust, 2,171 shares are held directly by Mr. Christensen's spouse, and 2,000 shares are held by Mr. Christensen's former spouse as custodian for their minor children under the California Uniform Transfers to Minors Act. Mr. Christensen's former spouse holds voting and investment power over the shares held for their children.
/s/ Kirk Cheney, as attorney in fact
2023-10-18