-----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, SXhEJM4ZGw69/uZttU0ju4nE4I4sYgwP+noNvb4HOKXwws1jnRhRmTV8Qqj9WWai +yKXuSmaMsJnedquvZUlgQ== 0001127602-10-014779.txt : 20100519 0001127602-10-014779.hdr.sgml : 20100519 20100519111209 ACCESSION NUMBER: 0001127602-10-014779 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100517 FILED AS OF DATE: 20100519 DATE AS OF CHANGE: 20100519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLOOSTERMAN HAROLD J CENTRAL INDEX KEY: 0001098295 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: 001-11316 FILM NUMBER: 10844430 MAIL ADDRESS: STREET 1: 900 VICTORS WAY SUITE 350 STREET 2: STE 101 CITY: ANN ARBOR STATE: MI ZIP: 48108 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 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2010-05-17 0000888491 OMEGA HEALTHCARE INVESTORS INC OHI 0001098295 KLOOSTERMAN HAROLD J 200 INTERNATIONAL CIRCLE SUITE 3500 HUNT VALLLEY MD 21030 1 Common Stock 49771 D Common Stock 2558 I Shares Held Directly By Spouse Deferred Stock Units 2010-05-17 4 A 0 481 19.48 A Common Stock 481 7730 D Deferred Stock Plan: These units represent the grant of restricted stock to the reporting person vesting over time or upon other specified events and convert into shares of common stock on a 1 for 1 basis. If the participant so elects, dividends will also be converted into Deferred Stock Units. These units will be converted into shares of common stock upon separation from service, death, disability, or certain specified events, all as defined in such plan. /s/ Thomas H. Peterson, Attorney-in-Fact 2010-05-19 -----END PRIVACY-ENHANCED MESSAGE-----