0001628280-20-001151.txt : 20200206
0001628280-20-001151.hdr.sgml : 20200206
20200206182349
ACCESSION NUMBER: 0001628280-20-001151
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200205
FILED AS OF DATE: 20200206
DATE AS OF CHANGE: 20200206
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: 20584042
MAIL ADDRESS:
STREET 1: 27101 PUERTA REAL, SUITE 450
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
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
4
1
wf-form4_158103141151633.xml
FORM 4
X0306
4
2020-02-05
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
2020-02-05
4
F
0
8107
22.45
D
226010
D
Common Stock
527537
I
Stapley Family Trust dated 4/25/2006
Common Stock
28672
I
By wife as UGMA custodian for children
Represents shares of common stock withheld by the Issuer to pay tax withholding obligations of the Reporting Person upon the vesting of restricted stock granted to the Reporting Person on February 5, 2019.
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
2020-02-06