SEC Form 4 · accession 0001047335-17-000010
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ernest G Burgess III
Director
Period of report
Jan 30, 2017
Accepted (ET)
Feb 1, 2017 · 4:28 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 StockF1 | Jan 30, 2017 | M | 7,500 | $44.80 | A | 97,921 | D |
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 | $44.80 | Jan 30, 2017 | M | 7,500 | D | May 3, 2012 | May 2, 2017 | Common Stock | 7,500 | 0 | D |
| Option to Purchase Common Stock | $47.75 | 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 |
| Option to Purchase Common Stock | $62.78 | holding | — | — | — | Jun 2, 2016 | Jun 1, 2021 | Common Stock | 7,500 | 7,500 | D |
Explanation of responses
- F1These stock options were granted pursuant to the 2010 Omnibus Equity Incentive plan on May 3, 2012. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).