0001104659-22-049464.txt : 20220425
0001104659-22-049464.hdr.sgml : 20220425
20220425122855
ACCESSION NUMBER: 0001104659-22-049464
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220421
FILED AS OF DATE: 20220425
DATE AS OF CHANGE: 20220425
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: 22848613
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: 4350 EAST WEST HIGHWAY
STREET 2: SUITE 1050
CITY: BETHESDA
STATE: MD
ZIP: 20814
BUSINESS PHONE: 240-479-7115
MAIL ADDRESS:
STREET 1: 4350 EAST WEST HIGHWAY
STREET 2: SUITE 1050
CITY: BETHESDA
STATE: MD
ZIP: 20814
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
tm2213367-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-04-21
0
0001503707
NorthStar Healthcare Income, Inc.
NONE
0001856249
Carnella Jonathan A.
C/O NORTHSTAR HEALTHCARE INCOME, INC.
4350 EAST WEST HIGHWAY, SUITE 1050
BETHESDA
MD
20814
1
0
0
0
Common Stock
2022-04-21
4
G
0
33420
0
D
0
D
Common Stock
2022-04-21
4
G
0
33420
0
A
33420
I
See Footnote
By family revocable trust.
/s/ Ann B. Harrington, as Attorney-in-Fact
2022-04-25