0001705113-17-000004.txt : 20170615 0001705113-17-000004.hdr.sgml : 20170615 20170615163207 ACCESSION NUMBER: 0001705113-17-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170613 FILED AS OF DATE: 20170615 DATE AS OF CHANGE: 20170615 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: Flornes Brian J. CENTRAL INDEX KEY: 0001705113 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55775 FILM NUMBER: 17913851 MAIL ADDRESS: STREET 1: 1613 SUNSET RIDGE DRIVE CITY: LAGUNA BEACH STATE: CA ZIP: 92651 4 1 wf-form4_149755867654083.xml FORM 4 X0306 4 2017-06-13 0 0001632970 Griffin-American Healthcare REIT IV, Inc. NONE 0001705113 Flornes Brian J. 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 2017-06-13 4 A 0 2500 0 A 7500 D Upon his re-election as an independent director to the board of directors of the Issuer on June 13, 2017, Mr. Flornes 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. /s/ BRIAN J. FLORNES 2017-06-15