SEC Form 4 · accession 0001510192-15-000072
Sabra Health Care REIT, Inc. · SBRA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard K Matros
Officer — Chairman, CEO and President · Director
Period of report
Nov 30, 2015
Accepted (ET)
Dec 2, 2015 · 1:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001492298
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Nov 30, 2015 | A | 1,416 | $0.00 | A | 60,266 | D | |
| Common StockF3 | Nov 30, 2015 | F | 94 | $20.68 | D | 60,172 | D | |
| Common StockF4,F5 | Nov 30, 2015 | G | 154 | $0.00 | D | 60,018 | D | |
| Common StockF4 | Nov 30, 2015 | G | 154 | $0.00 | A | 884,068 | I | By R&A Matros Revocable Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents stock units credited to the reporting person in the form of dividend equivalent payments on stock units previously granted to the reporting person that are outstanding under the Issuer's 2009 Performance Incentive Plan, calculated on the basis of the market value of the Issuer's common stock on the dividend payment date. These units will vest and become payable on the same terms as the original stock units to which they relate. Of these units, 248 were fully vested as of November 30, 2015.
- F2Reports a correction in the amount of securities held directly by the reporting person due to an inadvertent error that appeared in prior reports dating from January 9, 2015 to November 22, 2015.
- F3Represents shares withheld by the Issuer in accordance with Rule 16b-3 to satisfy tax withholding obligations in connection with the vested portion of the stock units described in footnote 1 above.
- F4Represents the vested portion of the stock units described in footnote 1 above less the shares withheld to satisfy tax withholding obligations as described in footnote 2 above. These shares were payable as of November 30, 2015 and have been transferred by the reporting person to the R&A Matros Revocable Trust.
- F5Consists of unvested stock units that, upon vesting, will be paid on a one-for-one basis in shares of the Issuer's Common Stock.