SEC Form 4 · accession 0001127602-16-061153
NATIONAL HEALTH INVESTORS INC · NHI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger R Hopkins
Officer — Chief Accounting Officer
Period of report
Aug 23, 2016
Accepted (ET)
Aug 25, 2016 · 4:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000877860
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 23, 2016 | M | 16,666 | $72.11 | A | 47,266 | D | |
| Common Stock | Aug 23, 2016 | M | 16,666 | $72.11 | A | 63,932 | D | |
| Common Stock | Aug 23, 2016 | F | 30,932 | $81.15 | D | 33,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy) | $72.11 | Aug 23, 2016 | M | 16,666 | D | Feb 20, 2015 | Feb 20, 2020 | Common Stock | 16,666 | 0 | D |
| Stock Options (Right to Buy) | $72.11 | Aug 23, 2016 | M | 16,666 | D | Feb 20, 2016 | Feb 20, 2020 | Common Stock | 16,666 | 0 | D |
| Stock Options (Right to Buy) | $72.11 | holding | — | — | — | Feb 20, 2017 | Feb 20, 2020 | Common Stock | 16,668 | 16,668 | D |
| Stock Options (Right to Buy) | $60.52 | holding | — | — | — | Feb 22, 2017 | Feb 22, 2021 | Common Stock | 16,666 | 16,666 | D |
| Stock Options (Right to Buy) | $60.52 | holding | — | — | — | Feb 22, 2018 | Feb 22, 2021 | Common Stock | 16,668 | 16,668 | D |
Explanation of responses
- F1Balance includes adjustment of 300 shares erroneously reported as withheld for delivery/tax purposes on April 18, 2016.