-----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, PXBzOu7Cy0pM+Tn0XRUFEeS4/RhTtY39yP+lnWG/GKUx2Z9Oz0xBhH34ncO+w1+M dQfxx19gB4hoi+nX/py/Jg== 0001179110-05-000740.txt : 20050107 0001179110-05-000740.hdr.sgml : 20050107 20050107180713 ACCESSION NUMBER: 0001179110-05-000740 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050103 FILED AS OF DATE: 20050107 DATE AS OF CHANGE: 20050107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAVEZ ALEX CENTRAL INDEX KEY: 0001198422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11314 FILM NUMBER: 05519226 MAIL ADDRESS: STREET 1: 300 ESPLANADE DR #1860 CITY: OXNARD STATE: CA ZIP: 93036 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LTC PROPERTIES INC CENTRAL INDEX KEY: 0000887905 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 710720518 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 22917 PACIFIC COAST HWY STREET 2: SUITE 350 CITY: MALIBU STATE: CA ZIP: 90265 BUSINESS PHONE: 3104556010 MAIL ADDRESS: STREET 1: 22917 PACIFIC COAST HWY STREET 2: SUITE 350 CITY: MALIBU STATE: CA ZIP: 90265 4 1 edgar.xml FORM 4 - X0202 4 2005-01-03 0 0000887905 LTC PROPERTIES INC LTC 0001198422 CHAVEZ ALEX 22917 PACIFIC COAST HWY SUITE 350 MALIBU CA 90265 0 0 0 1 Former Officer Common Stock 2005-01-03 2005-01-07 4 M 0 15541 19.82 A 41641 D Common Stock 2005-01-03 2005-01-07 4 J 0 10800 0 D 30841 D Stock Options 5.375 2001-03-31 2008-03-31 Common Stock 1500 1500 D Stock Options 5.375 2002-03-31 2009-03-31 Common Stock 6000 7500 D Stock Options 5.375 2003-03-31 2010-03-31 Common Stock 6000 13500 D Stock Options 5.375 2004-03-31 2011-03-31 Common Stock 6000 19500 D Stock Options 5.375 2005-03-31 2012-03-31 Common Stock 6000 25500 D Stock Options 7.63 2003-04-10 2010-04-10 Common Stock 2000 27500 D Stock Options 7.63 2004-04-10 2011-04-10 Common Stock 2000 29500 D Stock Options 7.63 2005-04-10 2012-04-10 Common Stock 2000 31500 D Stock Options 7.63 2005-01-03 2005-01-03 4 J 0 2000 0 D 2006-04-10 2013-04-10 Common Stock 2000 31500 D Stock Options 7.63 2005-01-03 2005-01-03 4 J 0 2000 0 D 2007-04-10 2014-04-10 Common Stock 2000 31500 D Withdrawal from deferred compensation trust. Cancellation of restricted stock upon resignation of employment. Cancellation of options not vested as of June 30, 2005 or thirty days after the termination of the Consulting Agreement between Reporting Person and Company. /s/ Alex J Chavez 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----