Genesis Healthcare (GENN) Form 4 Genesis Healthcare / Robert Hartman ownership change

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Hartman Robert

(Last) (First) (Middle)

C/O GENESIS HEALTHCARE, INC.

101 EAST STATE STREET

(Street)

KENNETT SQUARE PA 19348

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Genesis Healthcare, Inc. [ GEN ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
	Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
06/07/2017

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Class A Common Stock	06/07/2017		A(1)		52,000	A	$0	111,802(2)	D
Class A Common Stock								1,190,955(3)	I	(3)
Class A Common Stock								779,766(4)	I	(4)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Grant of restricted stock units under the Issuer's 2015 Omnibus Equity Incentive Plan.

2. Includes 52,000 unvested restricted stock units and 40,000 vested restricted stock units that have not yet been paid in shares of the Issuer's Class A Common Stock.

3. Represents shares of Class A Common Stock of the Issuer ("Class A Shares") held by Midway Gen Capital, LLC, of which Mr. Hartman may be deemed to be the beneficial owner. Mr. Hartman disclaims beneficial ownership of such Class A Shares, except to the extent of Mr. Hartman's pecuniary interest therein.

4. Represents Class A Shares held by GHC Class B LLC of which Mr. Hartman may be deemed to be the beneficial owner. Mr. Hartman disclaims beneficial ownership of such Class A Shares, except to the extent of Mr. Hartman's pecuniary interest therein.

	By: Michael Berg, Attorney-in-Fact For: Robert Hartman	06/08/2017
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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