Exhibit 4.1

 



LTC ·   m#E£--PROPERTIES, INC. PAR VALUE $.01 PAR VALUE $.01 LTC Properties, Inc.   INCORPORATED UNDER THE LAWS OF THE STATE OF MARYLAND SEE REVERSE FOR CERTAIN   DEFINITIONS "IFICATE IS TRANSFERABLE N NEW YORK, NY CUSIP 502175 10 2   FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF J<C?rj/C?<   o/th'o . <jt. leO-N b.y t/1': hm /o. hoJ<Cr>/e.:;e. ,ftc-l'dNb   1M'-b.,y "';, a d/f'o,rj-a/ atttM<-/ oyr D/b . CnutJ/CNZ-6/c D/L   t/1'JkJ<C t/'.l<lel<t, o/ /hed COJ<-t¢'catC /b.I<D/OJ<-(y   C/L Mc/. d_a?u/ . e4tcr.:b.,y 6 8f J<-t¢'catr e:; LDt   tta!ui""'ltd crMZoicM LJ.r«' r do X ufo_ £ J<-. i;c?'d. ..:   ..... ... . . ..... . tho?cJu/t-e.lo• J..k./'.7(.d!   .fU..'".f..'"".-.'.1 1the-jk.Ju/U't: J&j'/L(l';lroc:f   c/e.tJ, ardhN<9cd ... ... . . .. lED AND REGISTERED: ... UCAN STOCK   TRANSFER & TRUST COMPANY . TRA..f.lA...NT Np..R.G.isn=ll.'.j=.i. ... (New   York, N") • .. ,):4 . 


    




 








LTC PROPERTIES,   INC. RESTRICTIONS ON TRANSFER; REDEEMABLE SHARES; AUTHORITY TO ISSUE STOCK OF   MORE THAN ONE CLASS The Charter of the Corporation authorizes the Board of   Directors to refuse to permit the transfer of any stock of the Corporation to   any proposed transferee if such proposed transfer may in the opinion of the   Board jeopardize the qualification of the Corporation as a real estate   investment trust ("REIT") as defined in the federal Internal   Revenue Code; the Charter provides that all contracts for the sale or other   transfer of stock shall be subject to this provision. The Charter also   provides that shares actually or constructively owned by any person in excess   of a "Limit" are automatically converted into "Excess   Shares." Excess Shares are redeemable by the Corporation and subject to   other restrictions and limitations set forth in the Charter. The Charter   authorizes the Corporation to issue stock of more than one class; the Board   of Directors has authority to issue Preferred Stock in such one or more   series consisting of such numbers of shares and having such preferences,   conversion and other rights, voting powers, restrictions and limitations as   to dividends, qualifications and terms and conditions of redemption as the   Board may determine, and the Board of Directors also has authority to   classify or reclassify any unissued stock from time to time. The Corporation   will furnish a full statement of the provisions of the Charter with respect   to restrictions on transfer, the "Limit" and other provisions relative   to "Excess Shares," and information as to the respective classes   and series of stock, to any stockholder on request and without charge. ••:••   The following abbreviations, when used in the inscription on the face of this   certificate, shall be corT ;d as though tr\;9jere written" ••:• •.....•   ..•.••.. :..•... out in full according to applicable laws or regulations: . .   . . TEN COM TEN ENT JTTEN - - as tenants in common as tenants by the   entireties as joint tenants with right of survivorship and not as tenants in   common UNIF GIFT MIN ACT-------Custodian ····· (Gust) • • ••(Minor) r   Uniforr'l'l i.fts to Minors A.c;••• . ..... unde . . ... :··:· .... ...   (State) . . ... .... ... ..... Additional abbreviations may also be used   though not in the abOliB' list. PLEASE INSERT SOCIAL SECURilY OR OTHER   IDENTIFYING NUMBER OF ASSIGNEE (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS,   INCLUDING ZIP CODE, OF ASSIGNEE)   -------------------------------------------------- -------------JCJ 4 ctfY d.   Ct:z/!&?a/ dhcAf :N'/M<&c?zted' Pfo/<C#?'Ca'd'c&:/zdt2aAt/   o/YML&/zt!' d. cd/z. C?</Fa?O, tZ/tt/   --------------------------------------------------------M h. 6a;,   d.Jav/dt0cAf &:/c d£pd. u£e/c 7-ta> ?-td /U'?'tZU.b-/c   £t:."&d p t:?-£t:."C:?<-ad/a?fR2b?z. z/c d ? > ?zrdcd.   d-a( _ ..... ... ..... NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST   CORRESPOND oWlTHE NAME AS WRmEN UPON THE FACE OF 11iE CellTIFICATE IN EVif'IY   P TICULAR, WITHOUT ALTERATION OR ENLARG 'tJR ANY CHANGE Wloi!ITEVER. .. ···:·   Signature(s) Guaranteed: :... ·..·.·.·.· .. .... ... . ..... ... . ... THE   SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR IN<::TITIITinN   IRANI<!': <::Tnr.KRROI<ERS SAVINGS AND LOAN ASSOCIATIONS