SEC Form 4 · accession 0001217152-15-000001
Genesis Healthcare, Inc. · GEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Boxer
Director
Period of report
Feb 2, 2015
Accepted (ET)
Feb 4, 2015 · 4:44 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001351051
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Feb 2, 2015 | M | 74,001 | $0.00 | A | 101,338 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F3 | — | Feb 2, 2015 | M | 74,001 | A | — | — | Class A Common Stock | 74,001 | 0 | D |
Explanation of responses
- F1The Class A common shares were issued upon the settlement of Restricted Stock Units previously issued to the director.
- F2The Restricted Stock Units were granted to the Reporting Person for no consideration pursuant to the Skilled Healthcare Group, Inc. Amended and Restated 2007 Incentive Award Plan (the "Plan"). Each Restricted Stock Unit represents a contingent right to receive one share of the Company's Class A common stock.
- F3Due to the business combination of Skilled Healthcare Group, Inc. and FC-GEN Operations Investment, LLC, on February 2, 2015, the vesting and/or settlement of the reported Restricted Stock Units was accelerated.
Remarks
On February 2, 2015, Skilled Healthcare Group, Inc. and FC-GEN Operations Investment, LLC combined their business and operations, with the surviving entity taking the name Genesis Healthcare, Inc.