0001704540-19-000003.txt : 20190613 0001704540-19-000003.hdr.sgml : 20190613 20190613141020 ACCESSION NUMBER: 0001704540-19-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190611 FILED AS OF DATE: 20190613 DATE AS OF CHANGE: 20190613 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: 19895729 MAIL ADDRESS: STREET 1: 18301 VON KARMAN AVENUE, STE 250 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_156044940538007.xml FORM 4 X0306 4 2019-06-11 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 2019-06-11 4 A 0 2500 0 A 24988 D Upon his re-election as an independent director to the board of directors of the Issuer on June 11, 2019, Mr. Smith was granted 2,500 shares of restricted Class T common stock. 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 1,325 shares of Class T common stock Mr. Smith acquired through the Issuer's distribution reinvestment plan since Mr. Smith's last Form 4 filed with the SEC on July 3, 2018. /s/ WILBUR H SMITH III 2019-06-13