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