SEC Form 4 · accession 0001127602-17-007514
NATIONAL HEALTH INVESTORS INC · NHI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Andrew Adams
Director
Period of report
Feb 17, 2017
Accepted (ET)
Feb 21, 2017 · 6:38 pm EST
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 Stock | Feb 17, 2017 | M | 15,000 | $47.52 | A | 15,000 | D | |
| Common Stock | Feb 21, 2017 | F | 9,593 | $74.31 | D | 5,407 | D | |
| Common Stock - held by Spouse | holding | — | — | — | 11,707 | I | Common Stock held by Spouse | |
| Common Stock By Adams Family Foundation II | holding | — | — | — | 222,307 | I | Trustee | |
| Common Stock By Amk, L.p. | holding | — | — | — | 732,784 | D | ||
| Common Stock by EMA, L.P. | holding | — | — | — | 341,802 | I | Trustee | |
| Common Stock by JMA Grandchildren's Trust | holding | — | — | — | 12,635 | I | Trustee | |
| Common Stock By Springland Ventures, L.p. | holding | — | — | — | 44,000 | D | ||
| Common Stock by W. Andrew Adams Exempt Trust | holding | — | — | — | 7,411 | D | ||
| Common Stock by W. Andrew Adams Non Exempt Trust | holding | — | — | — | 37,842 | 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) | $47.52 | Feb 17, 2017 | M | 15,000 | D | Feb 21, 2012 | Feb 21, 2017 | Common Stock | 15,000 | 0 | D |
| Stock Options (Right to Buy) | $60.52 | holding | — | — | — | Feb 22, 2016 | Feb 22, 2021 | Common Stock | 20,000 | 20,000 | D |
| Stock Options (Right to Buy) | $72.11 | holding | — | — | — | Feb 20, 2015 | Feb 20, 2020 | Common Stock | 20,000 | 20,000 | D |
| Stock Options (Right to Buy) 2-25-14 | $61.31 | holding | — | — | — | Feb 25, 2014 | Feb 25, 2019 | Common Stock | 15,000 | 15,000 | D |
| Stock Options (Right to Buy) | $64.49 | holding | — | — | — | Feb 25, 2013 | Feb 25, 2018 | Common Stock | 15,000 | 15,000 | D |
Remarks
Mr. Adams no longer has beneficial ownership of the shares of Common Stock previously attributed to the Adams Children and Grandchildren's Trust.