0001628280-17-000972.txt : 20170207
0001628280-17-000972.hdr.sgml : 20170207
20170207210058
ACCESSION NUMBER: 0001628280-17-000972
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170203
FILED AS OF DATE: 20170207
DATE AS OF CHANGE: 20170207
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CareTrust REIT, Inc.
CENTRAL INDEX KEY: 0001590717
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 463999490
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 905 CALLE AMANECER, SUITE 300
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92673
BUSINESS PHONE: (949) 542-3140
MAIL ADDRESS:
STREET 1: 905 CALLE AMANECER, SUITE 300
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92673
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stapley Gregory K.
CENTRAL INDEX KEY: 0001417559
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36181
FILM NUMBER: 17580729
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
4
1
wf-form4_148651924369487.xml
FORM 4
X0306
4
2017-02-03
0
0001590717
CareTrust REIT, Inc.
CTRE
0001417559
Stapley Gregory K.
905 CALLE AMANECER
SUITE 300
SAN CLEMENTE
CA
92673
1
1
0
0
President, Chairman and CEO
Common Stock, par value $0.01
2017-02-03
4
A
0
103550
0
A
232126
D
Common Stock, par value $0.01
477061
I
Stapley Family Trust dated 4/25/2006
Common Stock, par value $0.01
28732
I
By wife as UGMA custodian for children
Represents restricted shares of common stock granted to the Reporting Person. Such shares vest in three equal annual installments beginning on the first anniversary of the grant date.
These shares are directly owned by the Stapley Family Trust dated 4/25/2006 and indirectly by Gregory K. Stapley as Trustee of the Trust. Gregory K. Stapley is an officer of the issuer.
These shares are directly owned by Deborah Stapley as custodian for the minor children of Gregory K. Stapley and Deborah Stapley under the California Uniform Transfers to Minors Act. Gregory K. Stapley is an officer of the issuer. The reporting person disclaims beneficial ownership of the shares owned by his children, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for the purposes of Section 16 or any other purpose.
/s/ William M. Wagner, attorney-in-fact
2017-02-07