-----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, BUBQVv8O55d1hOUB5NSXj/GXHXeDfz9VwLfTjKiBH4H9Yv5t6YPULJk9b5bq8KGl Z/6ntZKMGbEJt8hJsBS2Bw== 0000878736-04-000051.txt : 20040206 0000878736-04-000051.hdr.sgml : 20040206 20040206153724 ACCESSION NUMBER: 0000878736-04-000051 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MANOR CARE INC CENTRAL INDEX KEY: 0000878736 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 341687107 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 333 N. SUMMIT STREET CITY: TOLEDO STATE: OH ZIP: 43604-2617 BUSINESS PHONE: 4192525500 MAIL ADDRESS: STREET 1: P.O. BOX 10086 CITY: TOLEDO STATE: OH ZIP: 43699-0086 FORMER COMPANY: FORMER CONFORMED NAME: HCR MANOR CARE INC DATE OF NAME CHANGE: 19981001 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH CARE & RETIREMENT CORP / DE DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHENEVERT WILLIAM J CENTRAL INDEX KEY: 0001197434 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10858 FILM NUMBER: 04574124 MAIL ADDRESS: STREET 1: 333 N SUMMIT ST STREET 2: 16TH FL CITY: TOLEDO STATE: OH ZIP: 43604 5 1 edgardoc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 1 0000878736 MANOR CARE INC HCR 0001197434 CHENEVERT WILLIAM J HCR MANOR CARE 333 NORTH SUMMIT STREET TOLEDO OH 43604 0 1 0 0 Vice President Phantom Stock Units 0 2003-12-31 4 J 0 357 0 A 1988-08-08 1988-08-08 Common Stock 357 633 D Non-Qualified Stock Option (right to buy) 11.5833 1996-11-30 2003-12-01 Common Stock 1500 1500 D Non-Qualified Stock Option (right to buy) 18 1997-11-30 2004-12-01 Common Stock 1500 1500 D Non-Qualified Stock Option (right to buy) 18.5833 1997-09-01 2004-09-02 Common Stock 150 150 D Non-Qualified Stock Option (right to buy) 18.75 2006-02-05 2013-02-06 Common Stock 15000 15000 D Non-Qualified Stock Option (right to buy) 19.25 2004-12-01 2011-02-02 Common Stock 12000 12000 D Non-Qualified Stock Option (right to buy) 21.5 1998-11-28 2005-11-29 Common Stock 1500 1500 D Non-Qualified Stock Option (right to buy) 27.75 1999-12-03 2006-12-04 Common Stock 1500 1500 D Non-Qualified Stock Option (right to buy) 32.4375 2001-09-25 2008-09-26 Common Stock 15000 15000 D Stock Appreciation Rights 7 2003-06-16 2010-06-17 Common Stock 20000 20000 D Stock Appreciation Rights 19.22 2005-02-05 2012-02-06 Common Stock 12000 12000 D Phantom Stock activity represents the number of phantom stock units credited in 2003 to the reporting person's account in Manor Care, Inc.'s Senior Management Savings Plan for Corporate Officers to be paid 100% in cash upon reporting person's retirement or earlier termination of employment with the company. During 2003, the price at the time the phantom units were credited ranged from $18.35 to $35.32. Fictitious date was provided by the SEC to conform to requirements of electronic filing format. Dates of exercisability and expiration are, therefore, not applicable. William J. Chenevert 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----