SEC Form 4
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
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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*
WALKER MICHAEL R

(Last) (First) (Middle)
228 N. GARFIELD STREET

(Street)
KENNETT SUARE PA 19348

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ELDERTRUST [ ETT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) X Other (specify below)
Acting CEO and President Trustee
3. Date of Earliest Transaction (Month/Day/Year)
02/05/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 (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 Shares 02/05/2004 S 76,566 D $12.5(1) 0 D
Common Shares 02/05/2004 S 176,500 D $12.5(1) 0 I Walker Family Partnership
Common Shares 02/05/2004 S 63,600 D $12.5(1) 0 I Senior LifeChoice
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
Common Shares $7.9 02/05/2004 S 2,000 04/19/2002 04/19/2012 Common Shares 2,000 $4.6(2) 0 D
Common Shares $7.14 02/05/2004 S 3,000 04/28/2003 04/28/2013 Common Shares 3,000 $5.36(2) 0 D
Common Shares $10.26 02/05/2004 S 100,000 (3) (4) Common Shares 100,000 $2.24(2) 0 D
Explanation of Responses:
1. These shares were sold, and the Reporting Person resigned from his position as Chairman, Trustee and Officer of the Issuer, in connection with a merger of the Issuer.
2. The options became fully vested and were sold, and the Reporting Person resigned from his position as Chairman, Trustee and Officer of the Issuer, in connection with a merger of the Issuer.
3. The first 50,000 shares were exercisable on 10/24/2003 and the remaining 50,000 shares were exercisable on 02/05/2004.
4. The expiration date of the first 50,000 shares will be on 10/24/2013 and the expiration date of the remaining 50,000 shares will be on 02/05/2014.
Kelly Keomanikhoth, as Attorney in Fact 02/06/2004
** 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).
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