0001104659-24-074186.txt : 20240624 0001104659-24-074186.hdr.sgml : 20240624 20240624094949 ACCESSION NUMBER: 0001104659-24-074186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240621 FILED AS OF DATE: 20240624 DATE AS OF CHANGE: 20240624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samay Gregory A CENTRAL INDEX KEY: 0001606352 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55190 FILM NUMBER: 241062332 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] ORGANIZATION NAME: 05 Real Estate & Construction IRS NUMBER: 273663988 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 575 LEXINGTON AVENUE 14TH ST STREET 2: 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 929-777-3135 MAIL ADDRESS: STREET 1: 575 LEXINGTON AVENUE 14TH ST STREET 2: 14TH 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 tm2417767-2_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-06-21 0 0001503707 NorthStar Healthcare Income, Inc. NONE 0001606352 Samay Gregory A C/O NORTHSTAR HEALTHCARE INCOME, INC. 575 LEXINGTON AVENUE, 14TH FLOOR NEW YORK NY 10022 1 0 0 0 0 Common Stock 2024-06-21 4 A 0 32197 A 147801 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, 2024. 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 $2.64. /s/ Ann B. Harrington, as Attorney-in-Fact 2024-06-21