0001433671-18-000040.txt : 20181009
0001433671-18-000040.hdr.sgml : 20181009
20181009161927
ACCESSION NUMBER: 0001433671-18-000040
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181005
FILED AS OF DATE: 20181009
DATE AS OF CHANGE: 20181009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Prosky Danny
CENTRAL INDEX KEY: 0001433671
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55775
FILM NUMBER: 181113885
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Griffin-American Healthcare REIT IV, 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 4, Inc.
DATE OF NAME CHANGE: 20150428
FORMER COMPANY:
FORMER CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc.
DATE OF NAME CHANGE: 20150205
4
1
wf-form4_153911635130393.xml
FORM 4
X0306
4
2018-10-05
0
0001632970
Griffin-American Healthcare REIT IV, Inc.
NONE
0001433671
Prosky Danny
C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV,
INC., 18191 VON KARMAN AVE., STE. 300
IRVINE
CA
92612
0
1
0
0
President & COO
Class I Common Stock
2018-10-05
4
P
0
1332
9.65
A
110711
I
By Danny and Zohar Prosky Family Rev Trust UA DTD 08/16/2011
Class T Common Stock
48339
I
By Danny and Zohar Prosky Family Rev Trust UA DTD 08/16/2011
Class T Common Stock
20833
I
By Griffin-American Healthcare REIT IV Advisor, LLC
The reported shares of Class I Common Stock were acquired at $9.65 per share by Mr. Prosky pursuant to an Executive Stock Purchase Plan between Mr. Prosky and the Issuer, entered into on 12/31/2017.
The reported shares of Class I common stock are held directly by Danny & Zohar Prosky Family Rev Trust UA DTD 08/16/2011, and indirectly by Danny Prosky and Zohar Prosky, Trustees.
The reported shares of Class T common stock are held directly by Danny & Zohar Prosky Family Rev Trust UA DTD 08/16/2011, and indirectly by Danny Prosky and Zohar Prosky, Trustees.
The reported shares of Class T common stock are owned by Griffin-American Healthcare REIT IV Advisor, LLC ("GAHRIV Advisor"). Mr. Prosky serves as a managing director of American Healthcare Investors, LLC, the managing member of GAHRIV Advisor, and as such, may be deemed to be the beneficial owner of such common stock. Mr. Prosky disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ DANNY PROSKY
2018-10-09