UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Phantom Stock Units | Â (2) | Â (2) | Common Stock | 616.3 | $ (2) | D | Â |
Phantom Stock Units Plan B | Â (3) | Â (3) | Common Stock | 205.4 | $ (3) | D | Â |
Stock Appreciation Rights | 02/04/2007 | 02/05/2014 | Common Stock | 5,000 | $ 34.3 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Wood Daniel A 333 NORTH SUMMIT STREET TOLEDO, OH 43604 |
 |  |  Vice President |  |
By: Richard A. Parr, attorney-in-fact For: Daniel A. Wood | 07/27/2007 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Shares of Common Stock acquired under the HCR Manor Care Stock Purchase and Retirement Savings 401 (k) Plan resulting from the plan trustee's reinvestment of dividends. |
(2) | Shares of Phantom Stock acquired under the HCR Manor Care Senior Management Savings Plan for Corporate Officers. Each share of Phantom Stock represents the right to receive the cash value of one share of HCR Common Stock. Shares of Phantom Stock are payable in cash following the reporting person's termination of employment with HCR. The reporting person may transfer his or her Phantom Stock account into an alternative investment account at any time. |
(3) | Shares of Phantom Stock acquired under the Manor Care, Inc. Nonqualified Retirement Savings and Investment Plan resulting from the reinvestment of dividends. Each share of Phantom Stock represents the right to receive one share of HCR Common Stock or the cash value thereof. Shares of Phantom Stock are payable in shares of HCR Common Stock or cash following the reporting person's termination of employment with HCR. The reporting person may transfer his or her Phantom Stock account into an alternative investment account at any time. |
 Remarks: Exhibit List:  Exhibit 24 - Power of Attorney |