SEC Form 4 · accession 0001127602-19-003201
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
Jan 29, 2019
Accepted (ET)
Jan 31, 2019 · 4:33 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 | Jan 29, 2019 | M | 15,000 | $61.31 | A | 24,109 | D | |
| Common Stock | Jan 29, 2019 | F | 11,322 | $81.23 | D | 12,787 | 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 | — | — | — | 34,140 | 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) 2-25-14 | $61.31 | Jan 29, 2019 | M | 15,000 | D | Feb 25, 2014 | Feb 25, 2019 | Common Stock | 15,000 | 0 | D |
| Stock Option Grant - 2-22-17 | $74.78 | holding | — | — | — | Feb 22, 2017 | Feb 22, 2022 | 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) | $60.52 | holding | — | — | — | Feb 22, 2016 | Feb 22, 2021 | Common Stock | 20,000 | 20,000 | D |
| Stock Options (Right to Buy) 2-20-18 | $64.33 | holding | — | — | — | Feb 20, 2018 | Feb 20, 2023 | Common Stock | 20,000 | 20,000 | D |