Sec Form 4 Filing - Hanson Jeffrey T @ Griffin-American Healthcare REIT IV, Inc. - 2018-03-22

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Hanson Jeffrey T
2. Issuer Name and Ticker or Trading Symbol
Griffin-American Healthcare REIT IV, Inc. [ NONE]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO & Chairman of the Board
(Last) (First) (Middle)
C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV,, INC., 18191 VON KARMAN AVE., STE. 300
3. Date of Earliest Transaction (MM/DD/YY)
03/22/2018
(Street)
IRVINE, CA92612
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 I Common Stock 03/22/2018 P 1,179 ( 1 ) A $ 9.21 40,256 I By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005 ( 2 )
Class T Common Stock 2,188 D
Class T Common Stock 20,206 I By Jeffrey T Hanson and April L Hanson Family Rev Trust DTD 06/14/2005 ( 3 )
Class T Common Stock 1,458 I By April Hanson IRA ( 4 )
Class T Common Stock 2,917 I By Crescentridge Inc 401K Plan ( 5 )
Class T Common Stock 19,479 I By JTH Holdings LLC DBPP ( 6 )
Class T Common Stock 20,833 I By Griffin-American Healthcare REIT IV Advisor, LLC ( 7 )
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hanson Jeffrey T
C/O GRIFFIN-AMERICAN HEALTHCARE REIT IV,
INC., 18191 VON KARMAN AVE., STE. 300
IRVINE, CA92612
X CEO & Chairman of the Board
Signatures
/s/ JEFFREY T. HANSON 03/26/2018
Signature of Reporting Person Date
Explanation of Responses:
( 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 12/31/2017.
( 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.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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