|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class A Partnership Units | (3) | 05/02/2011 | J(4) | 9,922 (1) | 05/02/2012 | (2) | Common Stock | (3) | (4) | 9,922 | I | By J&L Rush Family Partnership (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RUSH JEFFREY 610 NEWPORT CENTER DRIVE SUITE 1150 NEWPORT BEACH, CA 92660 |
X |
/s/ William Wagner, attorney-in-fact | 05/03/2011 | |
**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) | The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or any other purpose. |
(2) | There is no expiration date associated with these Class A Partnership Units. |
(3) | The Class A Partnership Units were issued by NHP/PMB, L.P., a Delaware limited partnership. In accordance with NHP/PMB, L.P.'s Amended and Restated Agreement of Limited Partnership, after a one-year holding period, Class A Partnership Units are exchangeable for cash or, at the general partner's option, shares of the issuer's common stock, initially on a one-for-one basis. |
(4) | The Class A Partnership Units were issued by NHP/PMB, L.P., in exchange for some or all of the reporting person's direct or indirect interest in certain medical office buildings contributed to NHP/PMB, L.P., pursuant to an agreement between Nationwide Health Properties, Inc. and Pacific Medical Buildings LLC. |
(5) | Held by J&L Rush Family Partnership, a California limited partnership for which the reporting person serves as a general partner. |