SEC Form 4 · accession 0001437749-18-021414
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
Nov 29, 2018
Accepted (ET)
Nov 30, 2018 · 3:17 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 StockF1 | Nov 29, 2018 | M | 7,500 | $61.25 | A | 108,751 | D | |
| Shares of Common StockF2,F3 | Nov 29, 2018 | F | 5,517 | $83.26 | D | 103,234 | 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 stockF4 | $61.25 | Nov 29, 2018 | M | 7,500 | D | May 7, 2015 | May 6, 2020 | Common Stock | 7,500 | 0 | D |
| Option to purchase common stockF4 | $62.78 | holding | — | — | — | Jun 2, 2016 | Jun 1, 2021 | Common Stock | 7,500 | 7,500 | D |
| Option to purchase common stockF4 | $72.94 | holding | — | — | — | May 9, 2017 | May 8, 2022 | Common Stock | 7,500 | 7,500 | D |
| Option to purchase common stockF4 | $61.90 | holding | — | — | — | May 3, 2018 | May 2, 2023 | Common Stock | 7,500 | 7,500 | D |
Explanation of responses
- F1These stock options were granted pursuant to the 2005 Stock Option Plan on May 7, 2015. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).
- F2Shares were withheld by the Company to pay the exercise price.
- F3Total amount of common shares owned following transactions reported on this form.
- F4This option was amended November 8, 2018.