SEC Form 4 · accession 0001047335-15-000159
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Andrew Adams
Director
Period of report
Dec 29, 2015
Accepted (ET)
Dec 30, 2015 · 5:17 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 - my name or my spouse's nameF1 | Dec 29, 2015 | M | 4,990 | $45.80 | A | 4,990 | D | |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common Stock | $45.80 | Dec 29, 2015 | M | 4,990 | D | May 9, 2011 | May 8, 2016 | Common Stock | 4,990 | 0 | 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
- F1These stock options were granted pursuant to the Company's Stock Option Plan on May 9, 2011. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).