-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, S4KoJLDy4qALC34+eOlnszAaXEdLLYTTTAoI7gjm4w0h7A8KlgX+cjgQqALdtBbj By+TfYJ9AsBvW3Bdd19X1w== 0001046311-99-000026.txt : 19990511 0001046311-99-000026.hdr.sgml : 19990511 ACCESSION NUMBER: 0001046311-99-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990430 FILED AS OF DATE: 19990510 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HCR MANOR CARE INC CENTRAL INDEX KEY: 0000878736 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 341687107 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-10858 FILM NUMBER: 99615615 BUSINESS ADDRESS: STREET 1: ONE SEAGATE CITY: TOLEDO STATE: OH ZIP: 43604-2616 BUSINESS PHONE: 4192525500 MAIL ADDRESS: STREET 1: ONE SEAGATE CITY: TOLEDO STATE: OH ZIP: 43604-2616 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH CARE & RETIREMENT CORP / DE DATE OF NAME CHANGE: 19930328 COMPANY DATA: COMPANY CONFORMED NAME: BAINUM STEWART JR CENTRAL INDEX KEY: 0001034261 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 213445874 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 11555 DARNESTOWN ROAD CITY: GAITHERSBURG STATE: MD ZIP: 20878 BUSINESS PHONE: 3019794400 MAIL ADDRESS: STREET 1: 11555 DARNESTOWN ROAD CITY: GAITHERSBURG STATE: MD ZIP: 20878 4 1 FORM 4 - 4/99 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Bainum, Jr., Stewart 8737 Colesville Road, Suite 800 Silver Spring, MD 20910 USA 2. Issuer Name and Ticker or Trading Symbol HCR Manor Care HCR 3. IRS or Social Security Number of Reporting Person (Voluntary) 213-44-587 4. Statement for Month/Year 4/99 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock | |J (1| |1,990,896 |A | |1,990,896 |I |Note 2 | | |) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |127,725 |I |Note 3 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |214,284 |I |Note 4 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |6,768 |I |Note 5 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |851,669 |I |Note 6 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | |G (1|V|1,302 |D | |72,484 |I |Note 7 | | |3) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " " | |J (8| |1,657,876 |A | |1,657,876 |I |Note 9 | | |) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |700,214 |I |Note 10 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |220,022 |I |Note 11 | - -----------------------------------------------------------------------------------------------------------------------------------| " " | | | | | | |532,684 |I |Note 12 | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Common Stock Option | | | | | | | | | | | |164,000 | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: Note 1: Liquidating distribution from Bainum Associates Limited Partnership ("BA") and MC Investments Limited Partnership ("MC"). The Stewart Bainum, Jr. Trust was the Managing General Partner of both BA and MC. Note 2: Shares owned by the Stewart Bainum, Jr. Declaration of Trust ("Stewart Bainum, Jr. Trust") in which Mr. Bainum is the sole trustee. Note 3: The proportionate interest of the Stewart Bainum, Jr. Trust in shares (1,779,628) owned by Mid Pines Associates, L.P. Note 4: The proportionate interest of the Stewart Bainum, Jr. Grantor Retained Annuity Trust dated September 10, 1996, the sole trustee of which is Mr. Bainum, Jr. in shares (1,779,628) owned by Mid Pines Associates, L.P. Note 5: The proportionate interest of various trusts, the beneficiaries of which are Mr. Bainum, Jr.'s two minor children in shares (1,779,628) owned by Mid Pines Associates, L.P. Note 6: The proportionate interest of the Stewart Bainum, Jr. Trust in shares (3,567,869) owned by Realty Investment Company, Inc., a real estate investment and management company in which Mr. Bainum, Jr. owns indirectly 23.9% of the outstanding common stock. Also includes 128,591 shares indirectly held through certain trusts for the benefit of Mr. Bainum, Jr.'s two minor children. Note 7: The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (1,779,628) owned by Mid Pines Associates, L.P. Mr. Bainum, Jr. is a co-trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. Note 8: Liquidating distribution from BA and MC. The Roberta Bainum Irrevocable Trust was a limited partner. Note 9: Shares owned by the Roberta Bainum Irrevocable Trust. Mr. Bainum, Jr. is a co-trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. Note 10: The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (3,567,869) owned by Realty Investment Company, Inc. Mr. Bainum, Jr. is a co-trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. Note 11: The proportionate interest of certain trusts in shares (1,779,628) owned by Mid Pines Associates, L.P. for the benefit of Mr. Bainum, Jr.'s nephews. Mr. Bainum is the trustee and his nephews are the beneficiaries. Beneficial ownership is disclaimed. Note 12: The proportionate interest of certain trusts in shares (3,567,869) owned by Realty Investment Company, Inc. for the benefit of Mr. Bainum, Jr.'s nephews. Mr. Bainum is the trustee and his nephews are the beneficiaries. Beneficial ownership is disclaimed. Note 13: Distribution from the Roberta Bainum Irrevocable Trust to Roberta Bainum. Mr. Bainum, Jr. is a co-trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. SIGNATURE OF REPORTING PERSON Stewart Bainum, Jr. DATE 5/7/99 -----END PRIVACY-ENHANCED MESSAGE-----