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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) | $ 16.81 | 10/22/2004 | M | 7,250 | 12/15/2003(1) | 10/17/2010 | Common | 28,250 (1) | $ 0 (2) | 21,000 | D | ||||
Option (Right to Buy) | $ 24.42 | 10/22/2004 | M | 7,000 | 12/15/2003(3) | 12/12/2011 | Common | 38,500 (3) | $ 0 (2) | 31,500 | D | ||||
Option (Right to Buy) | $ 25.82 | 10/22/2004 | M | 5,880 | 01/15/2004(4) | 01/27/2013 | Common | 29,397 (4) | $ 0 (2) | 23,517 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HERMAN CHARLES J JR ONE SEAGATE, SUITE 1500 TOLEDO, OH 43604 |
VP & Chief Investment Officer |
By: Erin C. Ibele Attorney-in-Fact For: Charles J. Herman, Jr. | 10/26/2004 | |
**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) | Options for the purchase of 52,500 shares of common stock at $16.81 per share were granted to Mr. Herman on October 17, 2000, which grant has previously been reported. The partial exercise of these options for the purchase of 24,250 shares has previously been reported. Of the remaining options, options for the purchase of 7,250 shares vested on December 15, 2003 and options for the purchase of 10,500 shares will vest on December 15 of each 2004 and 2005. |
(2) | The options were granted under the Health Care REIT, Inc. 1995 Stock Incentive Plan and had no acquisition price. |
(3) | Options for the purchase of 52,500 shares of common stock at $24.42 per share were granted to Mr. Herman on December 12, 2001, which grant has previously been reported. The partial exrcise of these options for the purchase of 14,000 shares has previosly been reported. Of the remaining options, options for the purchase of 7,000 shares vested on December 15, 2003, and options for the purchase of 10,500 shares will vest on December 15 of each 2004, 2005 and 2006. |
(4) | Options for the purchase of 29,397 shares of common stock at $25.82 per share were granted to Mr. Herman on January 27, 2003, which grant has previously been reported. Options for the purchase of 5,880 shares vested on January 15, 2004, options for the purchase of 5,880 shares will vest on January 15, 2005 and options for the purchase of 5,879 shares will vest on January 15 of each 2006, 2007 and 2008. |