SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Burton Spencer

(Last) (First) (Middle)
27101 PUERTA REAL
SUITE 450

(Street)
MISSION VIEJO CA 92691

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/30/2019
3. Issuer Name and Ticker or Trading Symbol
ENSIGN GROUP, INC [ ENSG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President and COO
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 14,539(1)(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) 05/26/2017(3) 05/26/2026 Common Stock 5,000 19.58 D
Employee Stock Option (right to buy) 08/31/2017(3) 08/31/2026 Common Stock 5,000 18.79 D
Employee Stock Option (right to buy) 05/31/2019(3) 05/31/2028 Common Stock 8,000 36.61 D
Employee Stock Option (right to buy) 02/07/2015(3) 02/07/2024 Common Stock 9,164 10.55 D
Employee Stock Option (right to buy) 02/16/2019(3) 02/16/2028 Common Stock 4,000 26.53 D
Employee Stock Option (right to buy) 07/30/2016(3) 07/30/2026 Common Stock 9,000 25.24 D
Employee Stock Option (right to buy) 10/30/2015(3) 10/30/2024 Common Stock 5,000 18.94 D
Employee Stock Option (right to buy) 02/04/2016(3) 02/04/2025 Common Stock 5,000 21.79 D
Employee Stock Option (right to buy) 05/25/2018(3) 05/25/2027 Common Stock 4,000 18.64 D
Explanation of Responses:
1. Includes: 1) 400 unvested Restricted Stock Awards ("RSAs") from an award of 2,000 RSAs granted October 30, 2014;2) 400 unvested RSAs from an award of 2,000 RSAs granted February 04, 2015;3) 1,440 unvested RSAs from an award of 3,600 RSAs granted July 30, 2015; 4) 800 unvested RSAs from an award of 2,000 RSAs granted May 26, 2016; 5) 1,200 unvested RSAs from an award of 2,000 RSAs granted August 31, 2016;6) 960 unvested RSAs from an award of 1,600 RSAs granted May 26, 2017;7) 1,280 unvested RSAs from an award of 1,600 RSAs granted February 16, 2018;8) 3,200 unvested RSAs from an award of 3,200 RSAs granted May 31, 2018
2. Restricted Stock Award shares vest in five equal annual installments beginning on the first anniversary of the grant date.
3. This option vests in five equal annual installments beginning on the date exercisable.
Remarks:
/s/ Chad A. Keetch, as power of attorney 06/03/2019
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.