X0202 4 2008-02-14 0 0001287865 MEDICAL PROPERTIES TRUST INC MPW 0001331437 Clarke Virginia A 1000 URBAN CENTER DRIVE SUITE 501 BIRMINGHAM AL 35242 1 0 0 0 Common Stock, par value $.001 2008-02-14 4 A 0 6000 0 A 29250 D Represents an award of restricted common stock, under the Second Amended and Restated Medical Properties Trust, Inc. 2004 Equity Incentive Plan, which vests in three equal annual amounts beginning February 14, 2009, and with respect to which the recipient has the right to participate fully in dividends and distributions paid by the Issuer. Philip Summerlin, by power of attorney 2008-02-28