Fishman Steven E. 4
4 · Genesis Healthcare, Inc. · Filed Mar 8, 2019
Insider Transaction Report
Form 4
Fishman Steven E.
10% Owner
Transactions
- Conversion
Class A Common Stock
[F1]2019-03-05+3,000,522→ 6,970,106 total(indirect: See Footnote) - Conversion
Class A Common Units of FC-GEN Operations Investment, LLC
[F2][F1]2019-03-05−3,000,000→ 6,056,014 total(indirect: See Footnote)→ Class A Common Stock (9,056,014 underlying) - Conversion
Shares of Class C Common Stock
[F3][F1]2019-03-05−522→ 1,055 total(indirect: See Footnote)→ Class A Common Stock (1,577 underlying)
Holdings
- 1,060,734
Class A Common Stock
- 2,283,476
Class A Common Units of FC-GEN Operations Investment, LLC
[F2]→ Class A Common Stock (2,283,476 underlying) - 398
Shares of Class C Common Stock
[F3]→ Class A Common Stock (398 underlying)
Footnotes (3)
- [F1]Represents shares of Class A Common Stock of the issuer ("Class A Shares"), shares of Class C Common Stock of the Issuer ("Class C Shares") on an as-converted basis,or Class A Common Units of FC-GEN Operations Investment, LLC ("OP Units") on an as-exchanged basis, as applicable, held by Zac Properties, LLC of which Mr. Fishman may be deemed to be the beneficial owner.
- [F2]Each OP Unit is exchangeable, pursuant to the terms and subject to the limitations of the limited liability company operating agreement of FC-GEN Operations Investment LLC and subject to certain adjustments, for one Class A Share.
- [F3]Concurrently with the exchange of an OP Unit as described in footnote 2, subject to certain adjustments, one Class C Share held by the holder of such OP Unit will automatically convert into 0.000174145 Class A Shares.
Signature
Michael Berg, Attorney-in-fact For: Steven E. Fishman|2019-03-08