0001104659-21-083606.txt : 20210621
0001104659-21-083606.hdr.sgml : 20210621
20210621172615
ACCESSION NUMBER: 0001104659-21-083606
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210617
FILED AS OF DATE: 20210621
DATE AS OF CHANGE: 20210621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carnella Jonathan A.
CENTRAL INDEX KEY: 0001856249
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55190
FILM NUMBER: 211032037
MAIL ADDRESS:
STREET 1: C/O NORTHSTAR HEALTHCARE INCOME, INC.
STREET 2: 590 MADISON AVENUE, 34TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NorthStar Healthcare Income, Inc.
CENTRAL INDEX KEY: 0001503707
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 273663988
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 590 MADISON AVENUE, 34TH FLOOR
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-547-2600
MAIL ADDRESS:
STREET 1: 590 MADISON AVENUE, 34TH FLOOR
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
FORMER COMPANY:
FORMER CONFORMED NAME: NorthStar Healthcare Income Trust, Inc.
DATE OF NAME CHANGE: 20120404
FORMER COMPANY:
FORMER CONFORMED NAME: NorthStar Senior Care Trust, Inc.
DATE OF NAME CHANGE: 20101119
FORMER COMPANY:
FORMER CONFORMED NAME: NorthStar Healthcare Trust, Inc.
DATE OF NAME CHANGE: 20101018
4
1
tm2120085d2_4.xml
OWNERSHIP DOCUMENT
X0306
4
2021-06-17
0
0001503707
NorthStar Healthcare Income, Inc.
NONE
0001856249
Carnella Jonathan A.
C/O NORTHSTAR HEALTHCARE INCOME, INC.
590 MADISON AVENUE, 34TH FLOOR
NEW YORK
NY
10022
1
0
0
0
Common Stock
2021-06-17
4
A
0
16710
A
33420
D
Pursuant to the NorthStar Healthcare Income, Inc. (the "Company") Fourth Amended and Restated Independent Directors Compensation Plan (the "Plan"), each of the Company's independent directors receives a grant of $65,000 in restricted stock units ("Restricted Stock Units") convertible, on a one-for-one-basis, into common stock, par value $0.01, of the Company (the "Common Stock") following re-election to the Company's Board of Directors.
The Restricted Stock Units vest quarterly over a two year period with an initial vesting date of July 1, 2021. Unless forfeited prior to the applicable vesting date, the Restricted Stock Units will be converted into shares of Common Stock on the earlier of (i) Change in Control (as defined in Section 409A of the Code) or (ii) the date of the director's "separation from service" (as defined in Section 409A of the Code).
Pursuant to the Plan, the amount of Restricted Stock Units was determined by dividing the fixed grant value of $65,000 by the most recently disclosed net asset value of the Company's common stock, or $3.89.
/s/ Ann B. Harrington, as Attorney-in-Fact
2021-06-21