SEC Form 4 · accession 0001316576-15-000004
Genesis Healthcare, Inc. · GEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Arnold M Whitman
Director · 10% Owner
Period of report
Nov 19, 2015
Accepted (ET)
Nov 23, 2015 · 7:00 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 | Nov 19, 2015 | P | 43,200 | $4.542 | A | 6,937,750 | I | (1) |
| Class A Common StockF2 | holding | — | — | — | 51,104 | D | ||
| Class A Common StockF3 | holding | — | — | — | 1,003,512 | I | (3) | |
| Class A Common StockF4 | holding | — | — | — | 501,815 | I | (4) |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of Class A Common Stock of the Issuer ("Class A Shares") held by HCCF Management Group XI, LLC, of which Mr. Whitman may be deemed to be the beneficial owner.
- F2Includes 19,802 unvested restricted stock units that have not yet been paid in Class A Shares.
- F3Represents Class A Shares held by HCCF Management Group, Inc., of which Mr. Whitman may be deemed to be the beneficial owner.
- F4Represents Class A Shares held by FC Profit Sharing, LLC, of which Mr. Whitman may be deemed to be the beneficial ownership of such Class A Shares, except to the extent of Mr. Whitman's pecuniary interest therein.