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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 | ||||||||
Performance-Based Restricted Stock Units | (2) | 05/06/2015 | M | 15,618 | (2) | (2) | Common | 15,618 | $ 0 (2) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DEROSA THOMAS J C/O HEALTH CARE REIT, INC. 4500 DORR STREET TOLEDO, OH 43615 |
X | Chief Executive Officer |
By: Erin C. Ibele Attorney-in-Fact For: Thomas J. DeRosa | 05/08/2015 | |
**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) | Shares represent restricted stock units that are automatically deferred under the terms of the restricted stock agreement and will be settled, on a one-to-one basis, in shares of common stock upon the reporting person's separation from service, death or change in control of HCN. These shares were previously reported as performance-based restricted stock units. As of the transaction date, the performance criteria has been satisfied. The aggregate number of shares reported represents: (a) 5,206 fully vested deferred restricted stock units and (b) 10,412 restricted stock units that vest in equal increments on April 13, 2016 and April 13, 2017 subject to the reporting person's continued service. |
(2) | Reflects the satisfaction of the performance conditions of the performance-based restricted stock unit award made under the Amended and Restated Health Care REIT, Inc. 2005 Long-Term Incentive Plan. Each performance-based restricted stock unit represents the right to receive one share of common stock upon settlement. These restricted stock units are shown in Table I. Settlement in shares of common stock is automatically deferred until separation from service, death or change in control of HCN. |