0001504537-19-000001.txt : 20190109 0001504537-19-000001.hdr.sgml : 20190109 20190109175718 ACCESSION NUMBER: 0001504537-19-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190107 FILED AS OF DATE: 20190109 DATE AS OF CHANGE: 20190109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Streiff Mathieu B. CENTRAL INDEX KEY: 0001504537 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55775 FILM NUMBER: 19518935 MAIL ADDRESS: STREET 1: 18191 VON KARMAN AVENUE STREET 2: SUITE 300 CITY: IRVINE STATE: CA ZIP: 92612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc. CENTRAL INDEX KEY: 0001632970 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 472887436 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18191 VON KARMAN AVENUE STREET 2: SUITE 300 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 949-270-9200 MAIL ADDRESS: STREET 1: 18191 VON KARMAN AVENUE STREET 2: SUITE 300 CITY: IRVINE STATE: CA ZIP: 92612 FORMER COMPANY: FORMER CONFORMED NAME: Griffin-American Healthcare REIT 4, Inc. DATE OF NAME CHANGE: 20150428 FORMER COMPANY: FORMER CONFORMED NAME: Griffin-American Healthcare REIT IV, Inc. DATE OF NAME CHANGE: 20150205 4 1 wf-form4_154707462165211.xml FORM 4 X0306 4 2019-01-07 0 0001632970 Griffin-American Healthcare REIT IV, Inc. NONE 0001504537 Streiff Mathieu B. C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV, INC., 18191 VON KARMAN AVE., STE. 300 IRVINE CA 92612 0 1 0 0 EVP & General Counsel Class I Common Stock 2019-01-07 4 P 0 999 9.65 A 62689 I By Streiff Family Trust UA DTD 03/26/2013 Class T Common Stock 47783 I By Streiff Family Trust UA DTD 03/26/2013 Class T Common Stock 20833 I By Griffin-American Healthcare REIT IV Advisor, LLC The reported shares of Class I Common Stock were acquired at $9.65 per share by Mr. Streiff pursuant to an Executive Stock Purchase Plan between Mr. Streiff and the Issuer, entered into on 12/31/2017. The reported shares of Class I common stock are held directly by Streiff Family Trust UA DTD 03/26/2013, and indirectly by Mathieu Streiff, Trustee. The reported shares of Class T common stock are held directly by Streiff Family Trust UA DTD 03/26/2013, and indirectly by Mathieu Streiff, Trustee. The reported shares of Class T common stock are owned by Griffin-American Healthcare REIT IV Advisor, LLC ("GAHRIV Advisor"). Mr. Streiff serves as a managing director of American Healthcare Investors, LLC, the managing member of GAHRIV Advisor, and as such, may be deemed to be the beneficial owner of such common stock. Mr. Streiff disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ MATHIEU B. STREIFF 2019-01-09