Exhibit 4.1
NATIONWIDE
HEALTH PROPERTIES, INC.
FORMED UNDER THE LAWS OF THE STATE OF
MARYLAND
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PREFERRED STOCK
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PREFERRED STOCK
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NUMBER
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SHARES
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PB
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SEE REVERSE FOR CERTAIN DEFINITIONS
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CUSIP 638620 30 2
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THIS CERTIFIES THAT
IS THE RECORD HOLDER OF
FULLY PAID AND NONASSESSABLE SHARES OF 7.75%
SERIES B CUMULATIVE CONVERTIBLE PREFERRED STOCK, PAR VALUE $1.00
PER SHARE
of Nationwide Health Properties, Inc.,
transferable on the share register of the Corporation by the holder
hereof in person or by duly authorized attorney upon surrender of
this Certificate properly endorsed. This Certificate is not valid
until countersigned by the Transfer Agent and registered by the
Registrar. Reference is made to the statement of the reverse hereof
with respect to the classes or series of shares, and certain
restrictions on the transferability thereof.
Witness the facsimile seal of the
Corporation and the facsimile signatures of its duly authorized
officers.
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/s/ D ON M.
P EARSON
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/s/ D OUGLAS M.
P ASQUALE
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SECRETARY
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PRESIDENT
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Dated:
SEAL OF NATIONWIDE HEALTH
PROPERTIES, INC. * MARYLAND*
INCORPORATED
OCT. 14, 1985
COUNTERSIGNED AND REGISTERED:
THE BANK OF NEW
YORK
TRANSFER AGENT AND REGISTRAR
BY
AUTHORIZED SIGNATURE
NATIONWIDE HEALTH PROPERTIES,
INC.
Nationwide Health Properties, Inc.
is authorized to issue two classes of shares, Common and Preferred,
and the Preferred may be issued in one or more series. The
corporation will furnish to any stockholder, on request and without
charge, a statement of the designations, preferences, conversion
and other rights, voting powers, restrictions, limitations as to
dividends, qualifications and terms and conditions of redemption of
the stock of each class, or series, which the corporation is
authorized to issue and any other information required by Section
2-211 of the Corporations and Associations Article of the Annotated
Code of Maryland. The board of directors of the corporation has
authority to fix all or any of the dividend rights, dividend rate,
conversion rights, voting rights, rights and terms of redemption
(including sinking fund provisions), the redemption price or
prices, and the liquidation preferences of any wholly unissued
Preferred shares or of any wholly unissued series of Preferred
shares, the number of shares constituting any unissued series of
Preferred shares, and the designations of such series.
The transfer of these shares to any
person who would thereby hold beneficial interest of more than 9.9%
of the outstanding shares of stock of the Corporation may be
prohibited or void or subject to other transfer restriction or
redemption rights as set forth in the Articles of Incorporation.
The Corporation will furnish information concerning such
restrictions to any stockholder on request and without
charge.
The following abbreviations, when
used in the inscription on the face of this certificate, shall be
construed as though they were written out in full according to
applicable laws or regulations:
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TEN COM
TEN ENT
JT TEN
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—
—
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as tenants in common
as tenants by the entireties
as joint tenants with right
of
survivorship and not as
tenants
in common
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UNIF GIFT MIN ACT
UNIF TRF MIN ACT
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Custodian
(Cust)
(Minor)
under Uniform Gifts to Minors
Act
(State)
Custodian (until age
)
(Cust)
under Uniform Transfers
(Minor)
to Minors Act
(State)
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Additional abbreviations may also be
used though not in the above list.
CONVERSION NOTICE
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TO:
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NATIONWIDE
HEALTH PROPERTIES, INC.
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THE BANK OF NEW YORK
The undersigned registered owner of
shares of 7.75% Series B Cumulative Convertible Preferred Stock
(the “Convertible Preferred Stock”) hereby irrevocably
exercises the option to convert the number of shares of Convertible
Preferred Stock set forth on the front of this share certificate or
the portion thereof (wh