0001209191-16-140560.txt : 20160908
0001209191-16-140560.hdr.sgml : 20160908
20160908161656
ACCESSION NUMBER: 0001209191-16-140560
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160907
FILED AS OF DATE: 20160908
DATE AS OF CHANGE: 20160908
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WELLTOWER INC.
CENTRAL INDEX KEY: 0000766704
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 341096634
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4500 DORR STREET
CITY: TOLEDO
STATE: OH
ZIP: 43615
BUSINESS PHONE: 419-247-2800
MAIL ADDRESS:
STREET 1: 4500 DORR STREET
CITY: TOLEDO
STATE: OH
ZIP: 43615
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTH CARE REIT INC /DE/
DATE OF NAME CHANGE: 19920703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Jeffrey H
CENTRAL INDEX KEY: 0001292027
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08923
FILM NUMBER: 161876380
MAIL ADDRESS:
STREET 1: C/O HEALTH CARE REIT, INC.
STREET 2: ONE SEAGATE, SUITE 1500
CITY: TOLEDO
STATE: OH
ZIP: 43604
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-07
0
0000766704
WELLTOWER INC.
HCN
0001292027
Miller Jeffrey H
4500 DORR STREET
TOLEDO
OH
43615
0
1
0
0
EVP-COO
Common Stock
2016-09-07
4
M
0
3994
49.17
A
136095
D
Common Stock
2016-09-07
4
M
0
19283
57.33
A
155378
D
Common Stock
2016-09-07
4
S
0
24777
78.00
D
130601
D
Option (Right to Buy)
49.17
2016-09-07
4
M
0
3994
0.00
D
2016-01-15
2021-01-27
Common
3994
0
D
Option (Right to Buy)
57.33
2016-09-07
4
M
0
19283
0.00
D
2013-01-15
2022-01-26
Common
24103
4820
D
The shares covered by this Form 4 have been sold pursuant ot a Rule 10b5-1 Sales Plan dated August 30, 2016.
Options for the purchase of 19,971 shares of common stock at $49.17 per share were granted to Mr. Miller on January 27, 2011, which grant has previously been reported. The partial exercise of these options for the purchase of 15,977 shares has previously been reported. Of the remaining options, options for the purchase of 3,994 shares vested on January 15, 2016.
The options were granted under the Amended and Restated Health Care REIT, Inc. 2005 Long-Term Incentive Plan and had no acquisition price.
Options for the purchase of 24,103 shares of common stock at $57.33 per share were granted to Mr. Miller on January 26, 2012, which grant has previously been reported. Options for the purchase of 4,821 shares vested on January 15 of each of 2013, 2014 and 2015, options for the purchase of 4,820 shares vested on January 15, 2016 and options for the purchase of 4,820 shares will vest on January 15, 2017.
By: Matthew McQueen
Attorney-in-Fact
For: Jeffrey H. Miller
2016-09-08
EX-24.4_674551
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY FOR SECTION 16 FILINGS
The undersigned does hereby make, constitute and appoint Thomas J. DeRosa and
Matthew McQueen, and each of them acting individually, his true and lawful
attorneys for the purposes hereinafter set forth.
References in this Power of Attorney to "attorney-in-fact" are to each of the
persons named above and to the person or persons substituted hereunder pursuant
to the power of substitution granted herein.
The undersigned hereby grants to the attorney-in-fact, for the undersigned and
in his name, place and stead the power to:
(1) prepare and submit to the U.S. Securities and Exchange Commission (the
"SEC") a Form ID, including amendments thereto, and any other documents
necessary or appropriate to obtain codes, passwords, and passphrases enabling
the undersigned to make electronic filings with the SEC of reports required by
Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation
of the SEC;
(2) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Welltower Inc. (the "Company"), Forms 3, 4, and
5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and
the rules thereunder;
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and file such form
with the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 19th day of August, 2016.
By: /s/ Jeffrey H. Miller
Name: Jeffrey H. Miller