SEC Form 4 · accession 0001047335-17-000011
NATIONAL HEALTHCARE CORP · NHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Andrew Adams
Director
Period of report
Jan 30, 2017
Accepted (ET)
Feb 1, 2017 · 4:35 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 | Jan 30, 2017 | M | 7,500 | $47.45 | A | 12,490 | 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 | $47.75 | Jan 30, 2017 | M | 7,500 | D | May 8, 2013 | May 7, 2018 | Common Stock | 7,500 | 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 | $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 8, 2013. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).