SEC Form 4 · accession 0001047335-15-000127
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Andrew Adams
Director
Period of report
Nov 3, 2015
Accepted (ET)
Nov 4, 2015 · 4:33 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 - 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 |
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 Stock - AMK, L.P.F2,F1 | — | Nov 3, 2015 | J | 479,682 | D | Nov 1, 2007 | Nov 3, 2015 | Common Stock | 116,102 | 0 | D |
| Shares of Series A Conv Pref Stock - WAA Exempt TrustF2,F1 | — | Nov 3, 2015 | J | 3,500 | D | Nov 1, 2007 | Nov 3, 2015 | Common Stock | 847 | 0 | D |
| Shares of Series A Conv Pref Stock - Adams Family Found IIF2,F1 | — | Nov 3, 2015 | J | 35,407 | D | Nov 1, 2007 | Nov 3, 2015 | Common Stock | 8,569 | 0 | I |
| 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 |
| Option to Purchase Common Stock | $61.25 | holding | — | — | — | May 7, 2015 | May 6, 2020 | Common Stock | 7,500 | 7,500 | 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 of $15.79 per share.