-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, U0gqTkuYP3HHFfdJ1soMcc5LYef909Y0Z2qwYNiQoYlXW9ioryvq6PEneJRBJQcU yCa1yIFnBfL8IXRVcAukFg== 0000888491-04-000108.txt : 20041015 0000888491-04-000108.hdr.sgml : 20041015 20041015181223 ACCESSION NUMBER: 0000888491-04-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041013 FILED AS OF DATE: 20041015 DATE AS OF CHANGE: 20041015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OMEGA HEALTHCARE INVESTORS INC CENTRAL INDEX KEY: 0000888491 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 383041398 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: STE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: STE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PICKETT C TAYLOR CENTRAL INDEX KEY: 0001143567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11316 FILM NUMBER: 041081940 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS STREET 2: 900 VICTORS WAY #350 CITY: ANN ARBOR STATE: MI ZIP: 48108 BUSINESS PHONE: 7348870246 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS STREET 2: 900 VICTORS WAY #350 CITY: ANN ARBOR STATE: MI ZIP: 48108 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-10-13 0000888491 OMEGA HEALTHCARE INVESTORS INC OHI 0001143567 PICKETT C TAYLOR 9690 DEERECO ROAD SUITE 100 TIMONIUM MD 21093 1 1 0 0 Chief Executive Officer Common Stock 2004-10-13 4 M 0 50000 2.32 A 710774 D Common Stock 2004-10-13 4 F 0 19375 11.05 D 691399 D Employee Stock Option (Right to Buy) 2.32 2004-10-13 4 M 0 50000 0 D 2003-06-12 2011-06-12 Common Stock 50000 254884 D Represents the aggregate of 8,235 shares held by the person for more than six months prior to the exercise of the option and delivered as payment of the exercise price and 11,140 shares otherwise issuable pursuant to the exercise of the option withheld as payment of the reporting person's tax liability in connection with the option. These options were part of a previously reported grant of 800,000 shares on June 12, 2001 by the Issuer to the Reporting Person of which one-half vested on June 12, 2003 with the balance vesting in equal monthly amounts through June 12, 2005. Thomas Peterson, Attorney-In-Fact 2004-10-15 -----END PRIVACY-ENHANCED MESSAGE-----