0001209191-15-079358.txt : 20151111 0001209191-15-079358.hdr.sgml : 20151111 20151110174936 ACCESSION NUMBER: 0001209191-15-079358 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151106 FILED AS OF DATE: 20151110 DATE AS OF CHANGE: 20151110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: New Senior Investment Group Inc. CENTRAL INDEX KEY: 0001610114 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 000000000 STATE OF INCORPORATION: NY BUSINESS ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS, 46TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10105 BUSINESS PHONE: 2128235564 MAIL ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS, 46TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10105 FORMER COMPANY: FORMER CONFORMED NAME: New Healthcare Investment Corp. DATE OF NAME CHANGE: 20140605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Givens Susan CENTRAL INDEX KEY: 0001591629 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36499 FILM NUMBER: 151219995 MAIL ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-11-06 0 0001610114 New Senior Investment Group Inc. SNR 0001591629 Givens Susan 1345 AVENUE OF THE AMERICAS, 46 FL NEW YORK NY 10105 1 1 0 0 Chief Executive Officer Common Stock 2015-11-06 4 M 0 2333 7.66 A 16878 D Common Stock 2015-11-06 4 M 0 2916 8.75 A 19794 D Common Stock 2015-11-06 4 M 0 3083 8.71 A 22877 D Common Stock 2015-11-06 4 F 0 7031 9.99 D 15846 D Stock Option 7.66 2015-11-06 4 M 0 2333 0.00 D Common Stock 2333 0 D Stock Option 8.75 2015-11-06 4 M 0 2916 0.00 D Common Stock 2916 0 D Stock Option 8.71 2015-11-06 4 M 0 3083 0.00 D Common Stock 3083 0 D The reported stock options were granted by the issuer's predecessor to Fortress Operating Entity I ("FOE I"), an affiliate of the issuer's manager, in April 2012, May 2012 and July 2012, as applicable, pursuant to the terms of the Nonqualified Stock Option and Incentive Award Plan of the issuer's predecessor and was converted in connection with the issuer's spin off. FOE I assigned such options to the reporting person, who assumed the options for no value. Options became exercisable in thirty equal monthly installments beginning on the first of each month following the month in which the options were granted to FOE I. /s/ Cameron D. MacDougall, as attorney-in-fact 2015-11-10