X0303 4 2009-03-23 0000740260 VENTAS INC VTR 0001215188 CAFARO DEBRA A 111 SOUTH WACKER DRIVE, SUITE 4800 CHICAGO, IL 60606 1 1 0 0 Chairman, President and CEO Stock Option (Right to Buy) 43.26 2009-03-23 5 G 0 89246 0 D 2007-01-17 2017-01-17 Common Stock 89246 0 D Stock Option (Right to Buy) 43.26 2009-03-23 5 G 0 89246 0 A 2007-01-17 2017-01-17 Common Stock 89246 89246 I By Trust Stock Option (Right to Buy) 28.96 2009-03-23 5 G 0 285707 0 D 2008-01-22 2018-01-22 Common Stock 285707 142853 D Stock Option (Right to Buy) 28.96 2009-03-23 5 G 0 285707 0 A 2008-01-22 2018-01-22 Common Stock 285707 285707 I By Trust Stock Option (Right to Buy) 41.54 2009-03-23 5 G 0 57767 0 D 2009-01-21 2019-01-21 Common Stock 57767 115534 D Stock Option (Right to Buy) 41.54 2009-03-23 5 G 0 57767 0 A 2009-01-21 2019-01-21 Common Stock 57767 57767 I By Trust Transfer to trust for the benefit of Ms. Cafaro's immediate family members. These options are part of a previously reported grant of 89,246 on January 17, 2007 by the Issuer to the Reporting Person, that became exercisable in three equal installments on January 17, 2007, January 17, 2008, and January 17, 2009. These options are part of a previously reported grant of 428,560 on January 22, 2008 by the Issuer to the Reporting Person, that became or will become exercisable in three equal installments on January 22, 2008, January 22, 2009, and January 22, 2010. These options are part of a previously reported grant of 173,301 on January 21, 2009 by the Issuer to the Reporting Person, that became or will become exercisable in three equal installments on January 21, 2009, January 21, 2010, and January 21, 2011. As of March 23, 2009, Reporting Person directly owns a total of 258,387 unexercised stock options. As of March 23, 2009, Reporting Person owns a total of 432,720 unexercised stock options indirectly by trust. Reporting Person disclaims beneficial ownership of these options except to the extent of the Reporting Person's pecuniary interest in the options. Debra A. Cafaro, By: T. Richard Riney, Attorney-In-Fact 2009-03-25