SEC Form 4 · accession 0001437749-18-022446
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 20, 2018
Accepted (ET)
Dec 21, 2018 · 12:29 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 20, 2018 | M | 2,500 | $52.93 | A | 22,490 | 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 StockF2 | $52.93 | Dec 20, 2018 | M | 2,500 | D | May 8, 2014 | May 7, 2019 | Common Stock | 7,500 | 5,000 | D |
| Option to Purchase Common StockF2 | $61.25 | holding | — | — | — | May 7, 2015 | May 6, 2020 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common StockF2 | $62.78 | holding | — | — | — | Jun 2, 2016 | Jun 1, 2021 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common StockF2 | $72.94 | holding | — | — | — | May 9, 2017 | May 8, 2022 | Common Stock | 7,500 | 7,500 | D |
| Option to Purchase Common StockF2 | $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 8, 2014. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).
- F2This option was amended November 8, 2018.