0001704540-17-000007.txt : 20170705 0001704540-17-000007.hdr.sgml : 20170705 20170705184626 ACCESSION NUMBER: 0001704540-17-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170703 FILED AS OF DATE: 20170705 DATE AS OF CHANGE: 20170705 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Wilbur H III CENTRAL INDEX KEY: 0001704540 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55775 FILM NUMBER: 17950170 MAIL ADDRESS: STREET 1: 18301 VON KARMAN AVENUE, STE 250 CITY: IRVINE STATE: CA ZIP: 92612 4 1 wf-form4_149929477180096.xml FORM 4 X0306 4 2017-07-03 0 0001632970 Griffin-American Healthcare REIT IV, Inc. NONE 0001704540 Smith Wilbur H III C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV, INC., 18191 VON KARMAN AVE., STE. 300 IRVINE CA 92612 1 0 0 0 Class T Common Stock 2017-07-03 4 A 0 5000 0 A 12891 D Mr. Smith was granted 5,000 shares of restricted Class T common stock on July 1, 2017. The shares of restricted Class T common stock vested immediately as to 20.0% of the shares on the grant date, and the remainder vests on each anniversary thereafter over four years. Includes 36 shares of Class T common stock Mr. Smith acquired through the Issuer's distribution reinvestment plan. /s/ WILBUR H SMITH III 2017-07-05