SEC Form 4 · accession 0001104659-17-012537
FIVE STAR SENIOR LIVING INC. · NASDAQ:FVE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam D. Portnoy
10% Owner
Period of report
Dec 7, 2016
Accepted (ET)
Feb 28, 2017 · 4:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001159281
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 7, 2016 | A | 15,000 | — | A | 123,000 | D | |
| Common StockF2 | holding | — | — | — | 17,999,999 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Transaction reported is grant of shares pursuant to the issuer's equity compensation plan.
- F2These shares are held by ABP Acquisition LLC. ABP Acquisition LLC is a wholly owned subsidiary of ABP Trust; Mr. Portnoy, as a trustee, officer and beneficial owner of ABP Trust, may be deemed to be a beneficial owner of these shares, but Mr. Portnoy disclaims such beneficial ownership except to the extent of his pecuniary interest therein.