SEC Form 4 · accession 0001047335-15-000047
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Andrew Adams
Director
Period of report
May 7, 2015
Accepted (ET)
May 8, 2015 · 2:08 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 - AdamsMark L.P. | holding | — | — | — | 610,813 | D | ||
| Shares of Common Stock-WAA Exempt Trust | holding | — | — | — | 1,937 | D | ||
| Shares of Common Stock - Adams Family Foundation II | holding | — | — | — | 35,407 | I | Trustee | |
| Shares of Series A Convertible Preferred Stock - AMK, L.P. | holding | — | — | — | 479,682 | D | ||
| Shares of Series A Conv Pref Stock-WAA Exempt Trust | holding | — | — | — | 3,500 | D | ||
| Shares of Series A Conv Pref Stock-Adams Family Found II | holding | — | — | — | 35,407 | I | Trustee |
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 StockF1 | $61.25 | May 7, 2015 | A | 7,500 | A | May 7, 2015 | May 6, 2020 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common Stock | $45.80 | holding | — | — | — | May 9, 2011 | May 8, 2016 | Common Stock | 4,990 | 4,990 | 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 |
Explanation of responses
- F1This stock option was granted pursuant to the Company's 2005 Stock Option Plan on May 7, 2015. The grant and exercise of this stock option are exempt from Section 16(b) pursuant to Rule 16b-3(d).