SEC Form 5/A · accession 0001047335-16-000235
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Ernest G Burgess III
Director
Period of report
Jun 2, 2016
Accepted (ET)
Jun 3, 2016 · 1:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001047335
Table I — non-derivative securities
No Table I lines on this filing.
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 StockF2,F1 | $62.78 | Jun 2, 2016 | A | 7,500 | A | Jun 2, 2016 | Jun 1, 2021 | 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 June 2, 2016. The grant and exercise of this stock option are exempt from Section 16(b) pursuant to Rule 16b-3(d).
- F2This Option to Purchase Common Stock granted 06/02/2016 was inadvertently reported on a Form 5 when it should have been reported on a Form 4.