0001504537-23-000003.txt : 20230616
0001504537-23-000003.hdr.sgml : 20230616
20230616175316
ACCESSION NUMBER: 0001504537-23-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
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: 231022560
MAIL ADDRESS:
STREET 1: 18191 VON KARMAN AVENUE
STREET 2: SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Healthcare REIT, 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 IV, Inc.
DATE OF NAME CHANGE: 20151231
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
wk-form4_1686952388.xml
FORM 4
X0407
4
2023-06-15
0
0001632970
American Healthcare REIT, Inc.
NONE
0001504537
Streiff Mathieu B.
C/O AMERICAN HEALTHCARE REIT, INC.
18191 VON KARMAN AVE, SUITE 300
IRVINE
CA
92612
1
0
0
0
0
Class T Common Stock
2023-06-15
4
A
0
3025
0
A
18318
D
Class T Common Stock
11946
I
By Streiff Family Trust UA DTD 03/26/2013
Class I Common Stock
62124
I
By Streiff Family Trust UA DTD 03/26/2013
Upon his re-election as a director to the board of directors of the Issuer on June 15, 2023, the Reporting Person was granted 3,025 shares of restricted Class T common stock on June 15, 2023. The shares of restricted Class T common stock vest on June 15, 2024.
The number of shares reported in this Form 4 accounts for the one-for-four reverse stock split effected by the Issuer on November 15, 2022.
The reported shares of Class T common stock are held directly by Streiff Family Trust UA DTD 03/26/2013, and indirectly by Mathieu B. Streiff, Trustee.
The reported shares of Class I common stock are held directly by Streiff Family Trust UA DTD 03/26/2013, and indirectly by Mathieu B. Streiff, Trustee.
/s/ MATHIEU B. STREIFF
2023-06-16