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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 6/9/20 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1159281 |
| Issuer Name: FIVE STAR SENIOR LIVING INC. |
| Issuer Trading Symbol: NASDAQ:FVE |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1241563 |
| | Owner Name: CLARK JENNIFER B |
| Reporting Owner Address: |
| | Owner Street 1: C/O FIVE STAR SENIOR LIVING INC., |
| | Owner Street 2: 400 CENTRE STREET |
| | Owner City: NEWTON |
| | Owner State: MA |
| | Owner ZIP Code: 02458 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 6/9/20 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 5,000 |
| | | Transaction Price Per Share: |
| Value: 0 |
| Footnote ID: F1 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 30,316 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: Transaction reported is grant of shares pursuant to issuer's equity compensation plan. |
| Owner Signature: |
| Signature Name: /s/ Jennifer B. Clark |
| Signature Date: 6/10/20 |
