SEC Form 4 · accession 0001047335-15-000038
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ernest G Burgess III
Director
Period of report
Apr 22, 2015
Accepted (ET)
May 5, 2015 · 3:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001047335
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Shares of Common Stock | Apr 22, 2015 | G | 800 | $0.00 | D | 94,421 | D | |
| Shares of Series A Convertible Preferred Stock | holding | — | — | — | 146,210 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common Stock | $45.80 | holding | — | — | — | May 9, 2011 | May 8, 2016 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common Stock | $44.80 | holding | — | — | — | May 3, 2012 | May 2, 2017 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common Stock | $47.45 | holding | — | — | — | May 8, 2013 | May 7, 2018 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common Stock | $52.93 | holding | — | — | — | May 8, 2014 | May 7, 2019 | Common Stock | 7,500 | 7,500 | D |