0001104659-23-073814.txt : 20230622 0001104659-23-073814.hdr.sgml : 20230622 20230622165113 ACCESSION NUMBER: 0001104659-23-073814 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230621 FILED AS OF DATE: 20230622 DATE AS OF CHANGE: 20230622 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: 231033959 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: 16 EAST 34TH ST STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 929-777-3135 MAIL ADDRESS: STREET 1: 16 EAST 34TH ST STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 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 tm2319430-2_4.xml FORM 4 X0407 4 2023-06-21 0 0001503707 NorthStar Healthcare Income, Inc. NONE 0001606352 Samay Gregory A C/O NORTHSTAR HEALTHCARE INCOME, INC. 16 EAST 34TH STREET, 18TH FLOOR NEW YORK NY 10016 1 0 0 0 0 Common Stock 2023-06-21 4 A 0 29010 A 115604 D Pursuant to the NorthStar Healthcare Income, Inc. (the "Company") Fifth Amended and Restated Independent Directors Compensation Plan (the "Plan"), each of the Company's independent directors receives a grant of $85,000 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, 2023. 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 $85,000 by the most recently disclosed net asset value of the Company's common stock, or $2.93. See Exhibit 24 Power of Attorney /s/ Nicholas R. Balzo, as Attorney-in-Fact 2023-06-22 EX-24 2 tm2319430d2_ex24.htm EXHIBIT 24

Exhibit 24

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that the undersigned hereby constitutes, designates and appoints Kendall Young, Nicholas Balzo and Ann Harrington and each of them severally, as such person's true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution and full power to act, for the undersigned and in the undersigned's name, place and stead, in any and all capacities, to execute, acknowledge, deliver and file any and all filings required by the Securities Exchange Act of 1934, as amended, including Section 16 of such act, and the rules and regulations thereunder, and requisite documents in connection with such filings, respecting securities of NorthStar Healthcare Income, Inc., a Maryland corporation, including but not limited to Form ID and Forms 3, 4 and 5 under such act and any amendments thereto.

This power of attorney shall be valid from the date hereof until revoked by the undersigned.

IN WITNESS WHEREOF, the undersigned has executed this instrument as of this 21st day of June 2023.

/s/ Gregory A. Samay

Name: Gregory A. Samay