SEC Form 4 · accession 0001047335-15-000081
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert G Adams
Officer — CEO · Director
Period of report
Aug 24, 2015
Accepted (ET)
Aug 25, 2015 · 6:05 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 in my name and my partnership nameF1 | Aug 24, 2015 | M | 10,000 | $46.69 | A | 27,141 | D | |
| Shares of Common Stock held in Trust I | holding | — | — | — | 1,034 | I | Trustee | |
| Shares of Common Stock held in Partnership | holding | — | — | — | 368,432 | I | General Partner | |
| Shares of Series A Conv Pref Stock held in Trust/Partnership | holding | — | — | — | 662,789 | I | Trustee/General Partner |
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 | $46.69 | Aug 24, 2015 | M | 10,000 | D | Dec 4, 2012 | Feb 29, 2016 | Common Stock | 45,859 | 35,859 | D |
Explanation of responses
- F1These stock options were granted pursuant to the Company's 2010 Omnibus Equity Incentive Plan on March 1, 2011. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).