Filing Details

Accession Number:
0001371918-17-000011
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-06-26 13:12:41
Reporting Period:
2017-06-22
Filing Date:
2017-06-26
Accepted Time:
2017-06-26 13:12:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1632970 Griffin-American Healthcare Reit Iv Inc. NONE () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1371918 T Jeffrey Hanson C/O Griffin-American Healthcare Reit Iv,
Inc., 18191 Von Karman Ave., Ste. 300
Irvine CA 92612
Ceo & Chairman Of The Board Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class I Common Stock Acquisiton 2017-06-22 1,259 $9.21 12,365 No 4 P Indirect By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class T Common Stock 2,188 Direct
Class T Common Stock 20,206 Indirect By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005
Class T Common Stock 1,458 Indirect By April Hanson IRA
Class T Common Stock 2,917 Indirect By Crescentridge Inc 401K Plan
Class T Common Stock 19,479 Indirect By JTH Holdings LLC DBPP
Class T Common Stock 20,833 Indirect By Griffin-American Healthcare REIT IV Advisor, LLC
Footnotes
  1. The reported shares of Class I common stock were acquired at $9.21 per share by Mr. Hanson pursuant to an Executive Stock Purchase Plan between Mr. Hanson and the Issuer, entered into on 12/30/2016.
  2. The reported shares of Class I common stock are held directly by Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005, and indirectly by Mr. Hanson and April L Hanson, Trustees.
  3. The reported shares of Class T common stock are held directly by Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005, and indirectly by Mr. Hanson and April L Hanson, Trustees.
  4. The reported shares of Class T common stock are owned by April Hanson through her investment retirement account. April Hanson is the wife of the reporting person.
  5. The reported shares of Class T common stock are owned by Mr. Hanson through his 401(k) plan.
  6. The reported shares of Class T common stock are held directly in a defined benefit pension plan, of which Mr. Hanson serves as Trustee.
  7. The reported shares of Class T common stock are owned by Griffin-American Healthcare REIT IV Advisor, LLC ("GAHRIV Advisor"). Mr. Hanson serves as a managing director of American Healthcare Investors, LLC, the managing member of GAHRIV Advisor, and as such, may be deemed to be the beneficial owner of such common stock. Mr. Hanson disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.