Exhibit 10.4



 Executive Officer Form 

Exhibit 10.4 

SUNRISE SENIOR LIVING, INC. 
 2008 OMNIBUS INCENTIVE PLAN, AS AMENDED 
 PERFORMANCE UNIT AGREEMENT

 Sunrise Senior Living, Inc., a Delaware corporation (the “Company”), hereby grants Performance Units relating
to shares of its common stock, $0.01 par value (the “Stock”), to the Grantee named below, the shares of Stock subject thereto being subject to achieving the performance criteria and the vesting conditions set forth in the attached
agreement (the “Agreement”). Additional terms and conditions of the grant are set forth in this cover sheet to the Agreement, in the Agreement, and in the Company’s 2008 Omnibus Incentive Plan, as amended (the “Plan”).

 Grant Date:                     , 2011

 Name of Grantee:
                                 

Grantee’s Social Security Number:
        -        -         
 Threshold Number of Performance Units:                          

Target Number of Performance Units:
                     

Maximum Number of Performance Units:
                             
 By checking the “Read and Acknowledge Award Documents” box on the Morgan Stanley Smith Barney website, you agree to all of the terms and conditions described in this Agreement, your
employment agreement with the Company and in the Plan, a copy of which is also attached. You acknowledge that you have carefully reviewed the Plan, and agree that the Plan will control in the event any provision of this Agreement is inconsistent
with the Plan. Certain capitalized terms used in this Agreement are defined in your employment agreement with the Company, and have the meaning set forth in such agreement. 

Attachment 
 This is not a stock certificate or a negotiable instrument. 

  
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 SUNRISE SENIOR LIVING, INC. 

2008 OMNIBUS INCENTIVE PLAN, AS AMENDED 
 PERFORMANCE UNIT AGREEMENT 
  

			
	Award of Performance Units Issuable upon Achievement of Performance Criteria and Vesting	  	This grant is an award of Performance Units (the “Performance Units”) entitling you to the number of shares of Stock to be determined as set forth below.
		
		  	Subject to satisfaction of the time-vesting requirements set out in “Vesting” below, the number of shares of Stock, if any, that may be issued pursuant to the terms of
this Agreement shall be calculated based on the attainment as determined by the Compensation Committee of specified performance goals, as set forth on the attached Exhibit A, as of December 31, 2011 and the attainment as determined by the
Compensation Committee of specified performance goals to be established by the Compensation Committee for calendar year 2012 and calendar year 2013 to be set forth on the attached Exhibits B and C (the “Performance Periods”) within
90 days of the commencement of calendar years 2012 and 2013, respectively, and will be promptly communicated to you. The maximum number of shares of Stock that may be issued to you hereunder is the Maximum Number of Performance Units on the cover
sheet, which number has been determined by multiplying your Target Number of Performance Units from the cover sheet by 200% [150% for Messrs. Haddock and Richards with corresponding change to exhibit]. The threshold number of shares of
Stock that may be issued to you hereunder is the Threshold Number of Performance Units on the cover sheet, which number has been determined by multiplying your Target Number of Performance Units from the cover sheet by 50%. The Threshold, Target and
Maximum Number of Performance Units are allocated among the three Performance Periods (2011, 2012 and 2013) 25%, 25% and 50%.
		
	Vesting	  	 Your right to the Stock under this Performance Unit vests as to 100% of such shares on the third anniversary of the Grant Date, provided
you then continue in Service and only to the extent that the specified performance goals have been satisfied, subject to acceleration as provided below in “Termination of Service; Change in Control.”

 
 Service for purposes of this Agreement shall be limited to Service as an employee of
the Company or an Affiliate.

		
	Nontransferability and Forfeiture	  	Your Performance Units granted hereby may not be sold, transferred, assigned, pledged or otherwise encumbered or disposed of, whether by operation of law or
otherwise.









			
		  	 In the event that you voluntarily terminate your employment (other than as provided below in “Termination of Service; Change in
Control”) or your Service terminates for Cause (as defined in your employment agreement) prior to the third anniversary of the Grant Date, you will forfeit to the Company all of the Performance Units.

 
 In addition, you will forfeit all Performance Units allocable to the calendar year
Performance Period as of the end of such Performance Period to the extent the specified performance goal has not been achieved and to the extent provided under “Termination of Service; Change in Control” below.

		
	 Termination of Service;
 Change in Control
	  	 Notwithstanding any provisions in your employment agreement with the Company to the contrary, in the event that your Service
terminates without Cause or for Good Reason (as defined in your employment agreement), other than in connection with, or within two years after, a Change in Control (as defined in your employment agreement) or your Service terminates due to death or
Disability (as defined in your employment agreement), you will vest in a pro-rata portion of the Performance Units subject to this grant based on actual achievement of the performance goals for the Performance Periods determined as of December 31,
2013, as if your Service continued for an additional 12 months after your date of termination of employment. You will forfeit all other Performance Units.
  

Notwithstanding any provisions in your employment agreement with the Company, in the event that your Service terminates without Cause or for Good Reason
in connection with or within two years after a Change in Control or a Change in Control occurs and the Performance Units are not assumed and continued in the transaction, you will vest in a portion of the Performance Units for any calendar year or
calendar years in the Performance Periods that have been completed based on actual achievement of the performance goals and for any calendar year and calendar years in the Performance Periods that have not been completed, based on the assumption
that target performance has been achieved as of your termination of Service or earlier closing of the Change in Control transaction if the Performance Units are not assumed and continued. You will forfeit all other Performance Units.

 
 Notwithstanding any provisions in your employment agreement with the Company, in the
event that your Service terminates without Cause or for Good Reason in connection with but prior to a Change in Control, you will vest in a portion of the Performance Units for any calendar year or calendar years in the Performance Periods that have
been completed prior to the closing of the Change in Control transaction based on actual achievement of the performance goals and for any calendar year or calendar years in the Performance Periods that have not been completed at the time of the
closing of the Change in Control transaction, based on the assumption that target performance has been achieved. You will forfeit all other Performance Units.



  
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	 Issuance of Stock
	  	The Performance Units awarded hereby are evidenced solely by this Agreement and the cover sheet. The Company will issue any Stock earned pursuant hereto in your name as of the
date that you vest in the Performance Units. Such delivery will be made as soon as practicable after the date on which vesting occurs and, in any event, within 30 days thereafter. Notwithstanding the foregoing, if the shares relating to the
Performance Units would otherwise be delivered during a period in which you are (i) subject to a lock-up agreement restricting your ability to sell shares of Stock in the open market or (ii) restricted from selling shares of Stock in the open market
because you are not then eligible to sell under the Company’s insider trading or similar plan as then in effect (whether because a trading window is not open or you are otherwise restricted from trading) and the Company determines not to
satisfy tax withholding requirements by withholding shares that are otherwise issuable to you in connection with your Performance Units, delivery of the shares related to the Performance Units may be delayed until no earlier than the first date on
which you are no longer prohibited from selling shares of Stock due to a lock-up agreement or insider trading plan restriction; provided, however, that the delivery of the shares related to your Performance Units will be made by December 31 of
the taxable year in which the Performance Units vest or such other time as is required to comply with the requirements of Section 409A of the Internal Revenue Code.
		
	 Book Entry Restrictions
	  	Any Stock issued hereunder may be issued in book entry form. In such event, the Company shall cause the transfer agent for the shares of its Stock to make a book entry record
showing ownership for the shares of Stock in your name subject to the terms and conditions of this Agreement. The Company shall issue or cause to be issued to you an account statement acknowledging your ownership of the shares of such
Stock.
		
	 Withholding Taxes
	  	You agree, as a condition of this grant, that you will make acceptable arrangements to pay any withholding or other taxes that may be due as a result of the delivery of shares of
Stock acquired under this grant. In the event that the Company determines that any federal, state, or local tax or withholding payment is required relating to the payment of dividends or the delivery of shares arising from this grant, the Company
shall have the right to require such payments from you, or withhold such amounts from other payments due to you. Subject to the prior approval of the Compensation Committee, which may be withheld by the Compensation Committee, in its sole
discretion, you may elect to satisfy this withholding obligation, in whole or in part, by causing the Company to withhold shares of Stock otherwise issuable to you or by delivering to the Company shares of Stock already owned by you. The shares of
Stock so delivered or withheld must have an aggregate Fair Market Value equal to the withholding obligation and may not be subject to any repurchase, forfeiture, unfulfilled vesting, or other similar
requirements.


  
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	 Repurchase Rights
	  	The Company has the right to reacquire any or all of the shares of Stock acquired pursuant to this Performance Unit Grant for two years after such shares of Stock are delivered
to you, at a price equal to the par value of such shares, (i) if you violate any agreement covering (a) non-competition with the Company or an Affiliate or (b) non-disclosure of confidential information of the Company or an Affiliate,
(ii) if you are terminated for Cause or (iii) if, subsequent to termination of your Service with the Company or an Affiliate, the Board determines that you committed acts or omissions which would have been the basis for a termination of
your Service for Cause had such acts or omissions been discovered prior to termination of your Service. A notice of repurchase shall specify the date of closing of such repurchase, which shall be no later than 30 days from the date the Company
exercises such right. In the event any such repurchase right is exercised, you shall be obligated to sell such stock to the Company. If the shares of Stock have been sold prior to the Board’s determination, you shall be required to pay to the
Company an amount equal to the gross amount realized on such sale by you. This repurchase right is not considered a “repurchase” right for purposes of Section 18.3 of the Plan or this Agreement.
		
	 Recoupment
	  	The Performance Units are subject to Company’s recoupment policy dated July 15, 2008 and the recoupment provisions set forth in your employment agreement.
		
	 Retention Rights
	  	This Agreement does not give you the right to be retained by the Company (or any parent, Subsidiaries or affiliates) in any capacity. The Company (and any Affiliates) reserves
the right to terminate your Service at any time and for any reason.
		
	 Shareholder Rights
	  	You, or your estate or heirs, do not have any of the rights of a stockholder of the Company, including, without limitation, the right to vote or receive dividends declared or
paid on the Stock, unless and until the Performance Units granted to you pursuant to this Agreement are paid in Stock and a certificate for such shares of Stock has been issued or an appropriate book entry has been made.
		
	 Adjustments
	  	In the event of any stock dividend, stock split, change in the corporate structure affecting the Stock, or any change in the corporate structure that is not a Change in Control,
the number or kind of shares covered by this grant may be adjusted pursuant to the Plan so that thereafter, subject to the terms and conditions of the adjusted Awards, such Awards shall entitle you to receive the kind and amount of securities or
property or cash receivable upon any such event by a holder of the number of Performance Units that would have been receivable with respect to such Award immediately prior thereto. Your Performance Units, as applicable, shall be subject to the terms
of any such agreement of merger, liquidation or reorganization in the event the Company is subject to such corporate activity.


  
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	 Applicable Law
	  	This Agreement will be interpreted and enforced under the laws of the State of Delaware, other than any conflicts or choice of law rule or principle that might otherwise refer
construction or interpretation of this Agreement to the substantive law of another jurisdiction.
		
	 The Plan
	  	The text of the Plan is incorporated in this Agreement by reference. Certain capitalized terms used in this Agreement are defined in the Plan, and have the meaning set forth in
the Plan.
		
		  	This Agreement, the cover page and the Plan constitute the entire understanding between you and the Company regarding this grant of Performance Units and any shares of underlying
Stock. Any prior agreements, commitments or negotiations concerning this grant are superseded.
		
	 Data Privacy
	  	In order to administer the Plan, the Company may process personal data about you. Such data includes, but is not limited to, the information provided in this Agreement and any
changes thereto, other appropriate personal and financial data about you such as home address and business addresses and other contact information, payroll information and any other information that might be deemed appropriate by the Company to
facilitate the administration of the Plan.
		
		  	By accepting this grant, you give explicit consent to the Company to process any such personal data. You also give explicit consent to the Company to transfer any such personal
data to transferees who shall include the Company and other persons who are designated by the Company to administer the Plan.
		
	Consent to Electronic Delivery	  	The Company may choose to deliver certain statutory materials relating to the Plan in electronic form. By accepting this grant, you agree that the Company may deliver the Plan
prospectus and the Company’s annual report to you in an electronic format. If at any time you would prefer to receive paper copies of these documents, as you are entitled to, the Company would be pleased to provide copies. Please contact the
General Counsel at 703-273-7500 to request paper copies of these documents.
		
	 Electronic Signature
	  	All references to signatures and delivery of documents in this Agreement can be satisfied by procedures the Company has established or may establish for an electronic signature
system for delivery and acceptance of any such documents, including this Agreement. Your electronic signature is the same as, and shall have the same force and effect as, your manual signature. Any such procedures and delivery may be effected by a
third party engaged by the Company to provide administrative services related to the Plan.


  
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 By checking the “Read and Acknowledge Award Documents” box on the Morgan
Stanley Smith Barney website, you agree to all of the terms and conditions described above, in your employment agreement and in the Plan. 

  
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 EXHIBIT A 
 2011 PERFORMANCE GOALS 
 AND NUMBER OF SHARES OF STOCK 

 

			
	 Adjusted EBITDA*
	  	 Shares of Stock**

	                    Threshold:  $     
million	  	 12.5% of Target Performance

Units

		
	                    Target:        $ 
    million	  	 25% of Target Performance
 Units

		
	                    Maximum   $    
million	  	 50% of Target Performance
 Units


  

	*	“EBITDA” is net income (loss) attributable to common shareholders but excludes depreciation and amortization, interest income, interest expense and (provision
for) benefit from income taxes. 

 “Adjusted EBITDA” further excludes stockholder
litigation, buyout fees, restructuring costs, write-off of capitalized project costs, allowance for uncollectible receivables from owners, impairments of long-lived assets, gain (loss) on investments, gain on fair value of liquidating trust note,
other income (expense), stock compensation, gain on the sale and development of real estate and equity interests, loss from investments accounted for under the profit-sharing method, discontinued operations (net of tax) and includes the
Company’s proportionate share of joint venture interest, taxes, depreciation, rent and amortization. Any incremental Adjusted EBIDTA from the acquisition of real estate or venture interests that was not contemplated in arriving at the
specified Adjusted EBIDTA targets will be excluded from the final calculation of Adjusted EBITDA in determining the threshold/ target/maximum payout. However, the incremental recurring cash flow (to be determined by arriving at net income
per generally accepted accounting principles and excluding depreciation and amortization expense) from unbudgeted acquisitions will be added to the final Adjusted EBIDTA computation. 

Adjusted EBITDA is intended to serve as a measure of free cash flow available for debt service. 

 

	**	Earned amounts interpolated on a straight line basis if actual Adjusted EBITDA falls between the specified Adjusted EBITDA amounts for threshold and target achievement
or between target and maximum achievement with the number of units rounded down to the nearest whole unit. 

 [The percentage for
the maximum award is 37.5% for Messrs. Haddock and Richards.] 

  
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 EXHIBIT B 
 2012 PERFORMANCE GOALS 
 AND NUMBER OF SHARES OF STOCK 

 

			
	 Adjusted EBITDA*
	  	 Shares of Stock**

	                    Threshold:  $    
million	  	 12.5% of Target Performance
 Units

		
	                    Target:        $ 
    million	  	 25% of Target Performance
 Units

		
	                    Maximum:  $    
million	  	 50% of Target Performance
 Units


  

	*	“EBITDA” is net income (loss) attributable to common shareholders but excludes depreciation and amortization, interest income, interest expense and (provision
for) benefit from income taxes. 

 “Adjusted EBITDA” further excludes stockholder
litigation, buyout fees, restructuring costs, write-off of capitalized project costs, allowance for uncollectible receivables from owners, impairments of long-lived assets, gain (loss) on investments, gain on fair value of liquidating trust note,
other income (expense), stock compensation, gain on the sale and development of real estate and equity interests, loss from investments accounted for under the profit-sharing method, discontinued operations (net of tax) and includes the
Company’s proportionate share of joint venture interest, taxes, depreciation, rent and amortization. Any incremental Adjusted EBIDTA from the acquisition of real estate or venture interests that was not contemplated in arriving at the
specified Adjusted EBIDTA targets will be excluded from the final calculation of Adjusted EBITDA in determining the threshold/ target/maximum payout. However, the incremental recurring cash flow (to be determined by arriving at net income
per generally accepted accounting principles and excluding depreciation and amortization expense) from unbudgeted acquisitions will be added to the final Adjusted EBIDTA computation. 

Adjusted EBITDA is intended to serve as a measure of free cash flow available for debt service. 

Nothing withstanding the foregoing definition of Adjusted EBITDA may be revised at the same time the performance goal is
set for 2012 as long such revised definition, and adjustments, are within the performance goals in the 2008 Omnibus Incentive Plan, as amended, and qualify as a measure of free cash flow available for debt service. 

 

	**	Earned amounts interpolated on a straight line basis if actual Adjusted EBITDA falls between the specified Adjusted EBITDA amounts for threshold and target achievement
or between target and maximum achievement with the number of units rounded down to the nearest whole unit. 

 [The percentage for
the maximum award is 37.5% for Messrs. Haddock and Richards.] 







 EXHIBIT C 
 2013 PERFORMANCE GOALS 
 AND NUMBER OF SHARES OF STOCK 

 

			
	 Adjusted EBITDA*
	  	 Shares of Stock**

	                    Threshold:    $    
million	  	 25% of Target Performance
 Units

		
	                    Target:         
$     million	  	 50% of Target Performance
 Units

		
	                    Maximum:   $    
million	  	 100% of Target Performance
 Units


  

	*	“EBITDA” is net income (loss) attributable to common shareholders but excludes depreciation and amortization, interest income, interest expense and (provision
for) benefit from income taxes. 

 “Adjusted EBITDA” further excludes stockholder
litigation, buyout fees, restructuring costs, write-off of capitalized project costs, allowance for uncollectible receivables from owners, impairments of long-lived assets, gain (loss) on investments, gain on fair value of liquidating trust note,
other income (expense), stock compensation, gain on the sale and development of real estate and equity interests, loss from investments accounted for under the profit-sharing method, discontinued operations (net of tax) and includes the
Company’s proportionate share of joint venture interest, taxes, depreciation, rent and amortization. Any incremental Adjusted EBIDTA from the acquisition of real estate or venture interests that was not contemplated in arriving at the
specified Adjusted EBIDTA targets will be excluded from the final calculation of Adjusted EBITDA in determining the threshold/ target/maximum payout. However, the incremental recurring cash flow (to be determined by arriving at net income
per generally accepted accounting principles and excluding depreciation and amortization expense) from unbudgeted acquisitions will be added to the final Adjusted EBIDTA computation. 

Adjusted EBITDA is intended to serve as a measure of free cash flow available for debt service. 

Nothing withstanding the foregoing definition of Adjusted EBITDA may be revised at the same time the performance goal is
set for 2013 as long such revised definition, and adjustments, are within the performance goals in the 2008 Omnibus Incentive Plan, as amended, and qualify as a measure of free cash flow available for debt service. 

 

	**	Earned amounts interpolated on a straight line basis if actual Adjusted EBITDA falls between the specified Adjusted EBITDA amounts for threshold and target achievement
or between target and maximum achievement with the number of units rounded down to the nearest whole unit. 

 [The percentage for
the maximum award is 75% for Messrs. Haddock and Richards.]