Michael Simanovsky Form 3 CAPITAL SENIOR LIVING / Michael Simanovsky ownership change

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^*

Simanovsky Michael

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
11/03/2021

3. Issuer Name and Ticker or Trading Symbol
CAPITAL SENIOR LIVING CORP [ CSU ]

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

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

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

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

	Form filed by One Reporting Person
X	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	2,803,928	I	See Footnote⁽¹⁾⁽²⁾
Common Stock	181,553	I	See Footnote⁽¹⁾⁽³⁾

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Series A Convertible Preferred Stock	11/03/2021	⁽⁴⁾	Common Stock	968,550	40⁽⁵⁾	I	See Footnote⁽¹⁾⁽²⁾
Series A Convertible Preferred Stock	11/03/2021	⁽⁴⁾	Common Stock	62,700	40⁽⁵⁾	I	See Footnote⁽¹⁾⁽³⁾
Warrant	11/03/2021	11/03/2026	Common Stock	968,538	40	I	See Footnote⁽¹⁾⁽²⁾
Warrant	11/03/2021	11/03/2026	Common Stock	62,712	40	I	See Footnote⁽¹⁾⁽³⁾

1. Name and Address of Reporting Person^*

Simanovsky Michael

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

Conversant Capital LLC

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

Conversant Dallas Parkway (A) LP

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

Conversant Dallas Parkway (B) LP

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

Conversant GP Holdings LLC

(Last)

(First)

(Middle)

25 DEFOREST AVENUE, 3RD FLOOR

(Street)

SUMMIT

07901

(City)

(State)

(Zip)

Explanation of Responses:

1. This Form 3 is being filed jointly by Michael Simanovsky, a United States citizen; Conversant Capital LLC, a Delaware limited liability company ("Conversant Capital"); Conversant GP Holdings LLC, a Delaware limited liability company ("Conversant GP"); Conversant Dallas Parkway (A) LP, a Delaware limited partnership ("Investor A"); and Conversant Dallas Parkway (B) LP, a Delaware limited partnership ("Investor B") (collectively the filing persons are the "Reporting Persons").

2. Shares are held by Investor A. Conversant GP is the general partner of Investor A and Conversant Capital is the investment manager to Investor A. Mr. Simanovsky is the managing member of Conversant Capital, and Conversant GP. By virtue of these relationships, Mr. Simanovsky, Conversant Capital, and Conversant GP may be deemed a beneficial owner of the securities held by Investor A. Mr. Simanovsky, Conversant Capital, and Conversant GP each disclaims beneficial ownership of the securities held by Investor A except to the extent of his or its pecuniary interest therein.

3. Shares are held by Investor B. Conversant GP is the general partner of Investor B and Conversant Capital is the investment manager to Investor B. Mr. Simanovsky is the managing member of Conversant Capital, and Conversant GP. By virtue of these relationships, Mr. Simanovsky, Conversant Capital, and Conversant GP may be deemed a beneficial owner of the securities held by Investor B. Mr. Simanovsky, Conversant Capital, and Conversant GP each disclaims beneficial ownership of the securities held by Investor B except to the extent of his or its pecuniary interest therein.

4. There is no expiration date for the right of the holder of Series A Convertible Preferred Stock to convert.

5. Each share of Series A Preferred Stock is convertible, at the election of the holder thereof, into a number of shares of Common Stock equal to the quotient of (i) the sum of (a) $1,000 per share, plus (b) any dividends thereon paid in the form of an increase in the liquidation preference of such share, plus (c) all accrued and unpaid dividends thereon by (ii) the effective conversion price.

Remarks:

Max Levy, a Principal of Conversant Capital, serves as a member of the Issuer's board of directors. On the basis of the relationships between Mr. Levy and the Reporting Persons, each of the Reporting Persons may be considered a director of the Issuer for purposes of Section 16 of the Securities Exchange Act of 1934, as amended.

	/s/ Michael J Simanovsky	11/12/2021
	Conversant Capital /s/ Michael J Simanovsky	11/12/2021
	Investor A /s/ Michael J Simanovsky	11/12/2021
	Investor B /s/ Michael J Simanovsky	11/12/2021
	Conversant GP /s/ Michael J Simanovsky	11/12/2021
	** 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.

Michael Simanovsky Form 3CAPITAL SENIOR LIVING / Michael Simanovsky ownership change