SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LAROCHE RICHARD F JR

(Last) (First) (Middle)
2103 SHANNON DRIVE

(Street)
MURFREESBORO TN 37129

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NATIONAL HEALTHCARE CORP [ NHC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/30/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, held in trust, subject to life estate 29,523 I Remainder in GRAT
Common Stock - IRA 1,038 D
Common Stock - Held in my name or my wife's name 04/30/2009 M 10,000(1) A $27.01 17,000 D
Common Stock - Partnership 255,152 D
Common Stock - Family Partnership 23,638 I Family Partnership
Common Stock - Family Foundation 8,635 I Trustee of Family Foundation
Shares of Series A Conv. Preferred Stock by Trustee of GRAT 31,523 I Remain. in GRAT
Shares of Series A Conv. Preferred Stock - IRA 1,921 D
Shares of Series A Conv. Preferred Stock - LaRoche Family LP 12,113 I Family Partnership
Shares of Series A Conv. Preferred Stock-LaRoche Enterprises 330,202 D
Shares of Series A Conv. Preferred Stock-Family Foundation 10,480 I Trustee of Family Foundation
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option to Purchase Common Stock $27.01 04/30/2009 A 10,000(1) 04/30/2009 05/30/2009 Common Stock 10,000 $0 10,000 D
Option to Purchase Common Stock $27.01 04/30/2009 M 10,000(1) 04/20/2004 05/30/2009 Common Stock 10,000 $27.01 0 D
Option to Purchase Common Stock $32.01 05/03/2005 05/02/2010 Common Stock 15,000 15,000 D
Option to Purchase Common Stock $44.25 05/03/2006 05/02/2011 Common Stock 15,000 15,000 D
Option to Purchase Common Stock $52.5 04/24/2007 04/23/2012 Common Stock 13,000 13,000 D
Option to Purchase Common Stock $51.5 05/01/2008 05/01/2013 Common Stock 15,000 15,000 D
Explanation of Responses:
1. This stock option was originally granted pursuant to the Company's 2002 Stock Option Plan on April 20, 2004 and expired on April 19, 2009. The Reporting Person inadvertently failed to exercise the option prior to such expiration. The Company elected to amend the option to extend the expiration date to May 30, 2009. This amendment may be deemed the grant of a new option. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).
Remarks:
Richard F. LaRoche, Jr. 05/04/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.