0001433671-21-000002.txt : 20211004 0001433671-21-000002.hdr.sgml : 20211004 20211004162102 ACCESSION NUMBER: 0001433671-21-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 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: 000-55434 FILM NUMBER: 211303017 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 III, Inc. CENTRAL INDEX KEY: 0001566912 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 461749436 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 4 1 wf-form4_163337881882160.xml FORM 4 X0306 4 2021-10-01 1 0001566912 Griffin-American Healthcare REIT III, Inc. NONE 0001433671 Prosky Danny C/O GRIFFIN-AMERICAN HEALTHCARE REIT III, INC., 18191 VON KARMAN AVE, STE 300 IRVINE CA 92612 1 1 0 0 President & COO Common Stock 2021-10-01 4 D 0 221748 D 0 I By Danny and Zohar Prosky Family Trust, DTD 8/16/2011 Common Stock 2021-10-01 4 D 0 22222 D 0 I By Griffin-American Healthcare REIT III Advisor, LLC Reflects the disposition of shares of the Issuer's common stock in connection with the merger (the "Merger") of the Issuer with and into Continental Merger Sub, LLC, a wholly-owned subsidiary of American Healthcare REIT, Inc. ("AHR"). In the Merger, each share of the Issuer's common stock, par value $0.01 per share, was converted into the right to receive 0.9266 shares of AHR Class I common stock, par value $0.01 per share ("AHR Class I Common Stock"). There is no established market for shares of AHR Class I Common Stock. On March 18, 2021, the board of directors of AHR approved an estimated value per share of AHR Class I Common Stock of $9.22. The reported shares of common stock are held directly by Danny & Zohar Prosky Family Trust, DTD 8/16/2011, and indirectly by Danny Prosky and Zohar Prosky, Trustees. The reported shares of common stock are owned by Griffin-American Healthcare REIT III Advisor, LLC ("GAHRIII Advisor"), which is 75% owned and managed by wholly owned subsidiaries of American Healthcare Investors, LLC ("American Healthcare Investors"). Mr. Prosky serves as a managing director of American Healthcare Investors, 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 2021-10-04