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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
LEWIS RAYMOND J

(Last) (First) (Middle)
353 N CLARK ST
SUITE 2900

(Street)
CHICAGO IL 60654

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Care Capital Properties, Inc. [ CCP ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/21/2016
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 01/21/2016 F 3,730(1) D $29.26 150,610(2)(3) 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
Explanation of Responses:
1. Represents shares withheld to pay the taxes on the vesting of restricted stock originally granted by Ventas, Inc. ("Ventas") on January 21, 2015 under the Ventas 2012 Incentive Plan. In connection with the spin-off of the Issuer from Ventas on August 17, 2015, each outstanding and unvested award of Ventas restricted stock owned by the Reporting Person was converted into an award of Issuer restricted stock and adjusted (based on the relative average per share closing prices of Ventas common stock and Issuer common stock on the New York Stock Exchange ("NYSE") during the first ten trading days immediately following the spin-off) in a manner intended to preserve the aggregate value of the award.
2. Includes an additional 34,280 shares of Issuer restricted stock originally granted by Ventas and subsequently converted and adjusted in the manner described in footnote 1 in connection with the spin-off of the Issuer from Ventas on August 17, 2015.
3. As of January 21, 2016, Reporting Person also owns options to purchase 769,426 shares of Issuer common stock. In connection with the spin-off of the Issuer from Ventas on August 17, 2015, each outstanding and unexercised option to purchase Ventas common stock owned by the Reporting Person was converted into an option to purchase Issuer common stock and adjusted (based on the relative average per share closing prices of Ventas common stock and Issuer common stock on the NYSE during the first ten trading days immediately following the spin-off) in a manner intended to preserve the aggregate intrinsic value of the option.
Remarks:
/s/Raymond J. Lewis, By: Kristen M. Benson, Attorney-In-Fact 01/25/2016
** 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 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.