0001209191-14-026831.txt : 20140410
0001209191-14-026831.hdr.sgml : 20140410
20140410101200
ACCESSION NUMBER: 0001209191-14-026831
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140326
FILED AS OF DATE: 20140410
DATE AS OF CHANGE: 20140410
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diversicare Healthcare Services, 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
FORMER COMPANY:
FORMER CONFORMED NAME: ADVOCAT INC
DATE OF NAME CHANGE: 19940309
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: 14755457
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-03-26
0
0000919956
Diversicare Healthcare Services, Inc.
DVCR
0001520976
Covington Health Group, LLC
1175 PEACHTREE STREET
SUITE 350
ATLANTA
GA
30361
0
0
0
1
member of 10% owner group
Common Stock
2014-03-26
4
J
0
44617
0.00
D
282427
D
On March 26, 2014, Covington Health Group, LLC distributed 44,617 shares of Diversicare Healthcare Services, Inc. to J.T. Watters, III. Mr. Watters is no longer a member of Covington Health Group, LLC.
Half of the remaining shares are attributable to John E. McMullan and half are attributable to John F. McMullan.
John E. McMullan
2014-04-10