SEC Form 4 · accession 0001398589-15-000003
Genesis Healthcare, Inc. · GEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roland Rapp
Officer — General Counsel, CAO and Sec.
Period of report
Feb 2, 2015
Accepted (ET)
Feb 4, 2015 · 5:51 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,F2 | Feb 2, 2015 | F | 27,146 | $8.30 | D | 470,801 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These securities are restricted shares of Genesis Healthcare, Inc. (fka Skilled Healthcare Group, Inc.) Class A common stock, par value $0.001 per share, awarded pursuant to the Skilled Healthcare Group, Inc. 2007 Incentive Award Plan (the "2007 Plan"). On the reported transaction date(s), the Reporting Person had restricted shares vest under award(s) previously granted to the Reporting Person pursuant to the 2007 Plan. Pursuant to the 2007 Plan, at the Reporting Person's election, the restricted shares reported hereby were forfeited by the Reporting Person to satisfy applicable withholding tax obligations with respect to the vesting of restricted shares granted pursuant to the foregoing award(s).
- F2No cash consideration was received by the Reporting Person for his or her forfeiture of the restricted shares. The forfeiture of restricted shares by the Reporting Person was made pursuant to the 2007 Plan.
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.