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*
SHELLEY-KESSLER PAMELA

(Last) (First) (Middle)
22917 PACIFIC COAST HWY
SUITE 350

(Street)
MALIBU CA 90265

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LTC PROPERTIES INC [ LTC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP & Controller
3. Date of Earliest Transaction (Month/Day/Year)
08/09/2004
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 Stock 787 I See Footnote(1)
Common Stock 08/09/2004 08/09/2004 A(2) 3,000 A $17.22 12,600 D
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
Stock Options $6.1875 04/14/2004 04/14/2004 F 3,000 07/10/2001 07/10/2008 Common Stock 5,000 $6.1875 2,000 D
Stock Options $6.1875 07/10/2002 07/10/2009 Common Stock 5,000 7,000 D
Stock Options $6.1875 07/10/2003 07/10/2010 Common Stock 5,000 12,000 D
Stock Options $6.1875 07/10/2004 07/10/2011 Common Stock 5,000 17,000 D
Stock Options $6.1875 07/10/2005 07/10/2012 Common Stock 5,000 22,000 D
Stock Options $5.17 10/03/2004 10/03/2011 Common Stock 1,800 40,000 D
Stock Options $5.17 10/03/2005 10/03/2012 Common Stock 1,800 41,800 D
Stock Options $5.17 10/03/2006 10/03/2013 Common Stock 1,800 43,600 D
Explanation of Responses:
1. Company contribution and reinvestment of dividend on shares held in deferred compensation trust. Individuals do not have the right to vote such shares.
2. 3,000 shares of restricted stock awarded 08/09/04. Shares vest equally over three years with the first one-third vesting on August 9, 2005 and based on the reporting person's employment with LTC at each vesting date.
Remarks:
/s/ Pamela J. Shelley-Kessler 08/10/2004
** 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).
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.