0001104659-16-153403.txt : 20161031 0001104659-16-153403.hdr.sgml : 20161031 20161031172813 ACCESSION NUMBER: 0001104659-16-153403 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161031 FILED AS OF DATE: 20161031 DATE AS OF CHANGE: 20161031 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUALITY CARE PROPERTIES, INC. CENTRAL INDEX KEY: 0001677203 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 812898967 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7315 WISCONSIN AVENUE STREET 2: SUITE 250-W CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 9494070700 MAIL ADDRESS: STREET 1: 7315 WISCONSIN AVENUE STREET 2: SUITE 250-W CITY: BETHESDA STATE: MD ZIP: 20814 FORMER COMPANY: FORMER CONFORMED NAME: HCP SpinCo, Inc. DATE OF NAME CHANGE: 20160615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HCP, INC. CENTRAL INDEX KEY: 0000765880 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37805 FILM NUMBER: 161962641 BUSINESS ADDRESS: STREET 1: 1920 MAIN STREET STREET 2: SUITE 1200 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-407-0700 MAIL ADDRESS: STREET 1: 1920 MAIN STREET STREET 2: SUITE 1200 CITY: IRVINE STATE: CA ZIP: 92614 FORMER NAME: FORMER CONFORMED NAME: HEALTH CARE PROPERTY INVESTORS INC DATE OF NAME CHANGE: 19920703 4 1 a4.xml 4 X0306 4 2016-10-31 1 0001677203 QUALITY CARE PROPERTIES, INC. QCP 0000765880 HCP, INC. 1920 MAIN STREET, SUITE 1200 IRVINE CA 92614 0 0 1 0 Common Stock 2016-10-31 4 J 0 1000 0.00 D 3285 D The transaction reported on this Form relates to the distribution to the Reporting Person's stockholders of shares of the Issuer's common stock held by the Reporting Person, effective as of October 31, 2016 (the "Distribution"), to effect the previously-disclosed spin-off of the Issuer from the Reporting Person. To effect the Distribution, the issued and outstanding common stock of the Issuer, initially consisting of 1,000 shares of common stock, all of which was held by the Reporting Person, was recapitalized into 93,597,519 shares of the Issuer's common stock, of which 93,594,234 shares were distributed, by means of a pro rata dividend, to the holders of the Reporting Person's common stock (other than fractional shares, which the distribution agent, Wells Fargo Shareowner Services, will aggregate and sell into the public market, and then distribute the proceeds thereof to the applicable stockholders of the Reporting Person). The remaining 3,285 shares of Issuer common stock, as reported in Column 5 of Table I above, are held by a wholly-owned subsidiary of the Reporting Person. /s/ Scott A. Graziano, Vice President 2016-10-31