0001140361-12-002547.txt : 20120113
0001140361-12-002547.hdr.sgml : 20120113
20120113170746
ACCESSION NUMBER: 0001140361-12-002547
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120112
FILED AS OF DATE: 20120113
DATE AS OF CHANGE: 20120113
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADVOCAT INC
CENTRAL INDEX KEY: 0000919956
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 621559667
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 6157717575
MAIL ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Covington Health Group, LLC
CENTRAL INDEX KEY: 0001520976
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12996
FILM NUMBER: 12527390
BUSINESS ADDRESS:
STREET 1: 1175 PEACHTREE STREET
STREET 2: SUITE 1230
CITY: ATLANTA
STATE: GA
ZIP: 30361
BUSINESS PHONE: 404-873-3434
MAIL ADDRESS:
STREET 1: 1175 PEACHTREE STREET
STREET 2: SUITE 1230
CITY: ATLANTA
STATE: GA
ZIP: 30361
4
1
doc1.xml
FORM 4
X0304
4
2012-01-12
0
0000919956
ADVOCAT INC
AVCA
0001520976
Covington Health Group, LLC
1175 PEACHTREE STREET
SUITE 1230
ATLANTA
GA
30361
0
0
0
1
member of 10% owner group
Common Stock
2012-01-12
4
P
0
5000
5.76
A
327044
D
1/3 of these shares are attributable to John E. McMullan, 1/3 are attributable to John F. McMullan and 1/3 are attributable to Joseph T. Watters, III.
s/s John E. McMullan, Manager, by attorney-in-fact pursuant to Power of Attorney dated August 9, 2011 on file with the Commission
2012-01-13