0001209191-13-000665.txt : 20130103 0001209191-13-000665.hdr.sgml : 20130103 20130103110754 ACCESSION NUMBER: 0001209191-13-000665 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20130103 DATE AS OF CHANGE: 20130103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAMPBELL LESLIE CENTRAL INDEX KEY: 0001565686 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12996 FILM NUMBER: 13504803 MAIL ADDRESS: STREET 1: 216 CENTERVIEW DRIVE CITY: BRENTWOOD STATE: TN ZIP: 37027 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2012-12-28 1 0000919956 ADVOCAT INC AVCA 0001565686 CAMPBELL LESLIE 216 CENTERVIEW DRIVE BRENTWOOD TN 37027 0 1 0 0 COO and Executive VP /s/ Jonathan D. Stanley, Attorney-in-Fact for Leslie Campbell 2013-01-03