SEC Form 4 · accession 0001047335-15-000111
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charlotte A Swafford
Officer — Sr. Vice President & Treasurer
Period of report
Nov 3, 2015
Accepted (ET)
Nov 3, 2015 · 5:40 pm EST
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 | holding | — | — | — | 174,575 | D | ||
| Shares of Common Stock - Trust | holding | — | — | — | 61,548 | I | Trustee |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Shares of Series A Convertible Preferred StockF2,F1 | — | Nov 3, 2015 | J | 5,041 | D | Nov 1, 2007 | Nov 3, 2015 | Common Stock | 1,220 | 0 | D |
| Shares of Series A Convertible Preferred Stock - TrustF2,F1 | — | Nov 3, 2015 | J | 147,937 | D | Nov 1, 2007 | Nov 3, 2015 | Common Stock | 35,806 | 0 | I |
| Option to purchase Common Stock | $46.69 | holding | — | — | — | Dec 4, 2012 | Feb 29, 2016 | Common Stock | 21,000 | 21,000 | D |
Explanation of responses
- F1Convertible anytime at a ratio of 0.24204 common shares per 1.0 preferred share.
- F2The reported securities were called for redemption by the issuer at a price equal to $15.79 per share.