X0303 4 2009-01-02 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 2009-01-02 4 A 0 11628 0 A 38628 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 twelve equal amounts of 969 on the second day of each calendar quarter beginning April 9, 2009. Philip Summerlin, by power of attorney 2009-01-06