FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
Griffin-American Healthcare REIT II, Inc. [ NONE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 03/19/2014 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 03/19/2014 | J(1) | 2,385 | A | $9.198 | 160,119 | I | By American Healthcare Investors LLC(2) | ||
Common Stock | 382,407 | I | By Hanson Family Trust DTD 6/14/2005(3) | |||||||
Common Stock | 21,254 | I | By Defined Benefit Pension Plan(4) | |||||||
Common Stock | 11,694 | D(5) | ||||||||
Common Stock | 69,338 | D(6) | ||||||||
Common Stock | 2,000 | I | By NCT-107, LLC(7) | |||||||
Common Stock | 25,857 | I | By April L. Hanson(8) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 Securities Underlying Derivative Security (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: 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 |
Explanation of Responses: |
1. The shares were issued pursuant to a Sub-advisory Agreement, dated November 7, 2011, whereby American Healthcare Investors LLC provides services to the Issuer and receives shares of the Issuer's common stock, in lieu of certain cash compensation. |
2. The reported shares of common stock are owned directly by American Healthcare Investors LLC, a limited liability company of which Mr. Hanson is a principal. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for the purposes of Section 16 or for any other purpose. |
3. The reported shares of common stock are held directly by Hanson Family Trust, DTD 6/14/2005, and indirectly by Jeffrey T. Hanson and April L. Hanson, Trustees. Includes 10,887 shares Mr. Hanson acquired through the Issuer's distribution reinvestment plan. |
4. The reported shares of common stock are held directly in a defined benefit pension plan, of which Mr. Hanson serves as trustee. Includes 598 shares Mr. Hanson acquired through the Issuer's distribution reinvestment plan. |
5. Mr. Hanson owns these shares of common stock through his 401K account. Includes 333 shares Mr. Hanson acquired monthly through the Issuer's distribution reinvestment plan. |
6. Mr. Hanson owns these shares of common stock through his investment retirement accounts. Includes 1,974 shares Mr. Hanson acquired through the Issuer's distribution reinvestment plan. |
7. The reported shares of common stock are owned directly by NCT-107, LLC, a charitable foundation of which Mr. Hanson is the manager. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for the purposes of Section 16 or for any other purpose. |
8. The reported shares of common stock are owned by April L. Hanson through her investment retirement account. April L. Hanson is the wife of the reporting person. Includes 736 shares Mrs. Hanson acquired through the Issuer's distribution reinvestment plan. |
Remarks: |
/s/ Jeffrey T. Hanson | 03/21/2014 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |