0001104659-22-074191.txt : 20220624 0001104659-22-074191.hdr.sgml : 20220624 20220624114648 ACCESSION NUMBER: 0001104659-22-074191 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220622 FILED AS OF DATE: 20220624 DATE AS OF CHANGE: 20220624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samay Gregory A CENTRAL INDEX KEY: 0001606352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55190 FILM NUMBER: 221038711 MAIL ADDRESS: STREET 1: C/O NORTHSTAR HEALTHCARE INCOME INC STREET 2: 399 PARK AVE 18TH 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 tm2219350-2_4.xml FORM 4 X0306 4 2022-06-22 0 0001503707 NorthStar Healthcare Income, Inc. NONE 0001606352 Samay Gregory A C/O NORTHSTAR HEALTHCARE INCOME INC 4350 EAST WEST HIGHWAY, SUITE 1050 BETHESDA MD 20814 1 0 0 0 Common Stock 2022-06-22 4 A 0 16624 A 86594 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, 2022. 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 $3.91. /s/ Ann B. Harrington, as Attorney-in-Fact 2022-06-24