Initial Statement of Beneficial Ownership (3)
March 17 2017 - 10:39AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
Isaac Paul J
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/7/2017
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3. Issuer Name
and
Ticker or Trading Symbol
CAPITAL SENIOR LIVING CORP [CSU]
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(Last)
(First)
(Middle)
ARBITER PARTNERS CAPITAL MANAGEMENT LLC, 530 FIFTH AVENUE, 20TH FLOOR
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
NEW YORK, NY 10036
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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29625
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D
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Common Stock
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4307325
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I
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By Investment Adviser
(1)
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Common Stock
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66819
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I
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By Self as Manager of Limited Liability Company
(2)
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Common Stock
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40000
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I
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By Self as Manager of Limited Liability Company
(3)
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Common Stock
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20000
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I
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By Self as Manager of Limited Liability Company
(4)
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Common Stock
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27000
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I
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By Spouse
(5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Put Option (obligation to buy)
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10/31/2016
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6/16/2017
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Common Stock
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30000
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$20
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I
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By Investment Adviser
(1)
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Put Option (obligation to buy)
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11/10/2016
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6/16/2017
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Common Stock
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20000
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$15
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I
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By Investment Adviser
(1)
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Explanation of Responses:
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(
1)
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Securities beneficially owned by Arbiter Partners Capital Management LLC ("Arbiter"). Arbiter is a registered investment adviser that manages and/or administers Arbiter Partners QP LP, an affiliated investment fund, and various accounts, including accounts for the benefit of the family of Paul J. Isaac. Mr. Isaac controls Arbiter. The securities reported on this line as beneficially owned by Mr. Isaac include the securities beneficially owned by Arbiter Partners QP LP and all accounts managed and/or administered by Arbiter, except for those securities reported on the other lines of this Form. Mr. Isaac disclaims beneficial ownership of these securities for all purposes of Section 16 of the Securities Exchange Act of 1934, as amended ("Section 16"), except to the extent of his pecuniary interest therein.
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(
2)
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Securities beneficially owned by Isaac Brothers, LLC. Mr. Isaac is the manager and part owner of Isaac Brothers, LLC. Mr. Isaac disclaims beneficial ownership of these securities for all purposes of Section 16, except to the extent of his pecuniary interest therein.
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(
3)
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Securities beneficially owned by Nana Associates LLC. Mr. Isaac is the manager of Nana Associates LLC. Mr. Isaac disclaims beneficial ownership of these securities for all purposes of Section 16, except to the extent of his pecuniary interest therein.
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(
4)
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Securities beneficially owned by 9 Interlaken Partners LLC. Mr. Isaac is the manager of 9 Interlaken Partners LLC. Mr. Isaac disclaims beneficial ownership of these securities for all purposes of Section 16, except to the extent of his pecuniary interest therein.
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(
5)
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Securities beneficially owned by Karen C. Isaac. Mr. Isaac disclaims beneficial ownership of these securities for all purposes of Section 16, except to the extent of his pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Isaac Paul J
ARBITER PARTNERS CAPITAL MANAGEMENT LLC
530 FIFTH AVENUE, 20TH FLOOR
NEW YORK, NY 10036
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X
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Signatures
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/s/ Paul J. Isaac
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3/17/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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