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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock | $ 0 (1) | 02/04/2013 | A | 32,160 | 01/31/2014(1) | 01/31/2014(1) | Common | 32,160 (1) | $ 0 (2) | 32,160 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CHAPMAN GEORGE L 4500 DORR STREET TOLEDO, OH 43615 |
X | Chairman, CEO and President |
By: Erin C. Ibele Attorney-in-Fact For: George L. Chapman | 02/06/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | These shares are performance shares awarded to Mr. Chapman and will entitle him to receive shares of common stock and corresponding dividends if he is employed by the Company at December 31, 2013 and if a performance hurdle is achieved. The performance shares are neither equity securities nor derivative securities as defined by the Commission for purposes of the Form and, accordingly, are not reported separately herein. |
(2) | These performance shares were granted without cash consideration on February 4, 2013 under the Amended and Restated Health care REIT, Inc. 2005 Long-Term Incentive Plan. These performance shares vest in one installment with 32,160 shares vesting on January 31, 2014. |