SEC Form 4/A · accession 0001209191-17-057493
WELLTOWER INC. · WELL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Thomas J Derosa
Officer — Chief Executive Officer · Director
Period of report
Aug 6, 2015
Accepted (ET)
Oct 19, 2017 · 5:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000766704
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance-Based Restricted Stock UnitsF1 | — | Aug 6, 2015 | A | 18,524 | A | — | — | Common | 18,524 | 18,524 | D |
| Performance-Based Restricted Stock UnitsF2 | — | May 6, 2016 | A | 13,166 | A | — | — | Common | 13,166 | 13,166 | D |
Explanation of responses
- F1The performance-based restricted stock units granted under the Welltower Inc. Amended and Restated 2005 Long-Term Incentive Plan are target shares as defined in the 2015-2017 Long-Term Incentive Program. Final share amounts will be determined at the conclusion of the performance period based on the Company's total shareholder return as determined by the Compensation Committee of the Board of Directors. Each restricted stock unit represents the right to receive one share of HCN's common stock. The original Form 4 filed on August 10, 2015 reported the target shares as 25,478 shares due to a clerical error.
- F2The performance-based restricted stock units granted under the Welltower Inc. Amended and Restated 2005 Long-Term Incentive Plan are target shares as defined in the 2016-2018 Long-Term Incentive Program. Final share amounts will be determined at the conclusion of the performance period based on the Company's total shareholder return as determined by the Compensation Committee of the Board of Directors. Each restricted stock unit represents the right to receive one share of HCN's common stock. The original Form 4 filed on May 9, 2016 reported the target shares as 19,691 shares due to a clerical error.