SEC Form 5 · accession 0001127602-16-039279
OMEGA HEALTHCARE INVESTORS INC · OHI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Craig R Callen
Director
Period of report
Dec 31, 2015
Accepted (ET)
Feb 3, 2016 · 3:56 pm EST
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 | — | Jul 17, 2015 | A | 3,000 | A | — | — | Common Stock | 3,000 | 13,900 | D |
Explanation of responses
- F1Deferred Stock Plan: These units represent the grant of stock to the reporting person 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.
- F2Represents grant of restricted stock, elected to be taken as Deferred Stock Units, to the reporting person. The restricted units are subject to time based vesting.
- 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.