SEC Form 4 · accession 0001127602-17-007335
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
Feb 16, 2017
Accepted (ET)
Feb 21, 2017 · 3:18 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 UnitsF3,F5,F1,F2,F4 | — | Feb 16, 2017 | A | 401 | A | — | — | Common Stock | 401 | 51,811 | D |
Explanation of responses
- F1Deferred Stock Plan: These units represent the grant of stock or restricted stock to the reporting person vesting over time or upon other specified events 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.
- F2Deferred 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.
- F3Grant of stock, elected to be taken as deferred stock units, as payment of quarterly Director fees
- F4These 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.
- F5Total includes 1,003 deferred stock units granted to the reporting person by the Company equivalent to and in lieu of the quarterly cash dividend on their deferred stock units.