UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VENTAS INC 353 N. CLARK STREET SUITE 3300 CHICAGO, IL 60654 |
 |  X |  |  |
Kristen M. Benson, Senior Vice President, Associate General Counsel and Corporate Secretary | 07/31/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | This Form 3 is being filed in connection with the SEC's declaration of effectiveness of the Registration Statement on Form 10 of Care Capital Properties, Inc. ("CCP"), which describes the planned separation of CCP from Ventas, Inc. ("Ventas"). |
(2) | Pursuant to CCP's Certificate of Incorporation (as amended), effective as of 11:59 p.m., EDT, on the date set by resolution of the Board of Directors of Ventas as the record date for the distribution of shares of CCP common stock owned by Ventas to holders of Ventas common stock (such time, the "Effective Time"), the 100 shares of CCP common stock held prior to the Effective Time by Nationwide Health Properties, LLC ("NHP"), a wholly-owned subsidiary of Ventas, shall, automatically by operation of law and without any further action on the part of CCP, NHP or Ventas by subdivided and converted into a number of shares of validly issued, fully paid and non-assessable shares of CCP common stock equal to the number of shares of common stock, par value $0.25, of Ventas, issued and outstanding, not including shares of treasury stock, as of the Effective Time, divided by four (4). |
(3) | These shares are owned indirectly through NHP, a Delaware limited liability company, which is wholly-owned subsidiary of the Reporting Person. |