SEC Form 4 · accession 0001127602-15-018167
OMEGA HEALTHCARE INVESTORS INC · OHI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Harold J Kloosterman
Director
Period of report
May 19, 2015
Accepted (ET)
May 21, 2015 · 5:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000888491
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF2,F1,F3 | — | May 19, 2015 | A | 345 | A | — | — | Common Stock | 345 | 36,833 | D |
Explanation of responses
- F1Deferred Stock Plan: These units represent the grant of stock to the reporting person for payment of Directors' fees, and convert into shares of common stock on a 1 for 1 basis. If the participant so elects, dividends will also be converted into Deferred Stock Units.
- F2Grant of stock, elected to be taken as deferred stock units, as payment of quarterly Director compensation.
- F3These units will be converted into shares of common stock upon separation from service, death, disability, or certain specified events, all as defined in such plan.