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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 | ||||||||
Option (Right to Buy) | $ 28.4375 | 07/25/2005 | M | 1,667 | 01/19/1999(2) | 01/19/2008 | Common | 5,000 (2) | $ 0 (3) | 3,333 | D | ||||
Option (Right to Buy) | $ 28.4375 | 07/25/2005 | M | 1,667 | 01/19/2000(2) | 01/19/2008 | Common | 3,333 (2) | $ 0 (3) | 1,666 | D | ||||
Option (Right to Buy) | $ 28.4375 | 07/25/2005 | M | 1,666 | 01/19/2001(2) | 01/19/2008 | Common | 1,666 (2) | $ 0 (3) | 0 | D | ||||
Option (Right to Buy) | $ 27.17 | 07/25/2005 | M | 1,667 | 01/28/2003(4) | 01/28/2012 | Common | 5,000 (4) | $ 0 (3) | 3,333 | D | ||||
Option (Right to Buy) | $ 27.17 | 07/25/2005 | M | 1,667 | 01/28/2004(4) | 01/28/2012 | Common | 3,333 (4) | $ 0 (3) | 1,666 | D | ||||
Option (Right to Buy) | $ 27.17 | 07/25/2005 | M | 1,666 | 01/28/2005(4) | 01/28/2012 | Common | 1,666 (4) | $ 0 (3) | 0 | D | ||||
Option (Right to Buy) | $ 25.82 | 07/25/2005 | M | 1,667 | 01/28/2005(5) | 01/28/2013 | Common | 3,333 (5) | $ 0 (3) | 1,666 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BORRA PIER C C/O HEALTH CARE REIT, INC. ONE SEAGATE, SUITE 1500 TOLEDO, OH 43604 |
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By: Erin C. Ibele Attorney-in-Fact For: Pier C. Borra | 07/27/2005 | |
**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) | The securities were gifted to a private family foundation (Borra Family Foundation) in which Mr. Borra has no direct or indirect pecuniary interest. There was no acquisition or disposition price for this transaction. |
(2) | Options for the purchase of 5,000 shares of common stock at $28.4375 per share were granted to Mr. Borra on January 19, 1998, which grant has previously been reported. Options for the purchase of 1,667 shares vested on January 19 of each 1999 and 2000 and options for the purchase of 1,666 shares vested on January 19, 2001. |
(3) | The options were granted under the Health Care REIT, Inc. 1997 Stock Plan for Non-Employee Directors and had no acquisition price. |
(4) | Options for the purchase of 5,000 shares of common stock at $27.17 per share were granted to Mr. Borra on January 28, 2002, which grant has previously been reported. Options for the purchase of 1,667 shares vested on January 28 of each 2003 and 2004 and options for the purchase of 1,666 shares vested on January 28, 2005. |
(5) | Options for the purchase of 5,000 shares of common stock at $25.82 per share were granted to Mr. Borra on January 28, 2003, which grant has previously been reported. The partial exercise of these options for the purchase of 1,667 shares has previously been reported. Of the remaining options, options for the purchase of 1,667 shares vested on January 28, 2005 and options for the purchase of 1,666 shares will vest on January 28, 2006. |