0000950172-15-000022.txt : 20150227 0000950172-15-000022.hdr.sgml : 20150227 20150227153155 ACCESSION NUMBER: 0000950172-15-000022 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150227 DATE AS OF CHANGE: 20150227 EFFECTIVENESS DATE: 20150227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Genesis Healthcare, Inc. CENTRAL INDEX KEY: 0001351051 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-234173 FILM NUMBER: 15658075 BUSINESS ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 BUSINESS PHONE: 610-444-6350 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 FORMER COMPANY: FORMER CONFORMED NAME: Skilled Healthcare Group, Inc. DATE OF NAME CHANGE: 20070209 FORMER COMPANY: FORMER CONFORMED NAME: SHG Holding Solutions Inc DATE OF NAME CHANGE: 20060126 D/A 1 primary_doc.xml X0707 D/A LIVE 0001351051 Genesis Healthcare, Inc. 101 EAST STATE STREET KENNETT SQUARE PA PENNSYLVANIA 19348 610-444-6350 DELAWARE Skilled Healthcare Group, Inc. SHG Holding Solutions Inc Corporation true George V. Hager, Jr. 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Director Incoming officer and Director (see Item 10) Thomas DiVittorio 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) Robert A. Reitz 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) Daniel Hirschfeld 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) Michael S. Sherman 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) Stephen Young 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) JoAnne Reifsnyder 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Incoming officer (see Item 10) Steven Fishman 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) Arnold Whitman 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) David Reis 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) James McKeon 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) James H. Bloem 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) John DePodesta 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) Robert Fish 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Executive Officer Director Outgoing officer; remaining director (see Item 10) Robert Hartman 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) Robert Hausman 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Incoming director (see Item 10) Glenn Schafer 101 East State Street Kennett Square PA PENNSYLVANIA 19348 Director Remaining director (see Item 10) Christopher Felfe 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Executive Officer Outgoing officer (see Item 10) Roland Rapp 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Executive Officer Outgoing officer (see Item 10) Laurie Thomas 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Executive Officer Outgoing officer (see Item 10) John Mitchell 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Executive Officer Outgoing officer (see Item 10) M. Bernard Puckett 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Director Outgoing director (see Item 10) Robert Le Blanc 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Director Outgoing director (see Item 10) Michael Boxer 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Director Outgoing director (see Item 10) Linda Rosenstock 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Director Outgoing director (see Item 10) Bruce Yarwood 27442 Portola Parkway Suite 200 Foothill Ranch CA CALIFORNIA 92610 Director Outgoing director (see Item 10) Other Health Care Over $100,000,000 06b true 0000950172-15-000017 2015-02-02 false true true true Consummation of the transactions contemplated by the Purchase and Contribution Agreement, dated as of August 18, 2015 and amended as of January 5, 2015, by and between Skilled Healthcare Group, Inc. and FC-GEN Operations Investment, LLC. 0 443912249 443912249 0 false 83 0 0 0 false Genesis Healthcare, Inc. /s/ Michael S. Sherman Michael S. Sherman SVP, General Counsel and Assistant Treasurer 2015-02-27