FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/28/2016 |
3. Issuer Name and Ticker or Trading Symbol
WELLTOWER INC. [ HCN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 33,664 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Option (Right-to-Buy) | 01/15/2015(1) | 01/28/2020 | Common | 551(1) | $43.29 | D | |
Option (Right-to-Buy) | 01/15/2015(2) | 01/27/2021 | Common | 2,239(2) | $49.17 | D | |
Option (Right-to-Buy) | 01/15/2015(3) | 01/28/2022 | Common | 1,552(3) | $57.33 | D |
Explanation of Responses: |
1. Options for the purchase of 2,757 shares of common stock were granted to Ms. Kerr on January 28, 2010. Options for the purchase of 2,206 shares have previously been exercised. Options for the purchase of 551 shares vested on January 15, 2015. |
2. Options for the purchase of 5,599 shares of common stock were granted to Ms. Kerr on January 27, 2011. Options for the purchase of 3,360 shares have previously been exercised. Options for the purchase of 1,120 shares vested on January 15, 2015 and options for the purchase of 1,119 shares vested on January 15, 2016. |
3. Options for the purchase of 2,588 shares of common stock were granted to Ms. Kerr on January 26, 2012. Options for the purchase of 1,036 shares have previously been exercised. Options for the purchase of 518 shares vested on January 15, 2015, options for the purchase of 517 shares vested on January 15, 2016 and options for the purchase of 517 shares will vest on January 15, 2017. |
Remarks: |
By Matthew McQueen Attorney-in-Fact for Mercedes T. Kerr | 08/05/2016 | |
** 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 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). | ||
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. |