0001047335-12-000010.txt : 20120208 0001047335-12-000010.hdr.sgml : 20120208 20120208125822 ACCESSION NUMBER: 0001047335-12-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120207 FILED AS OF DATE: 20120208 DATE AS OF CHANGE: 20120208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAROCHE RICHARD F JR CENTRAL INDEX KEY: 0001012859 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 12580796 MAIL ADDRESS: STREET 1: P.O. BOX 1398 CITY: MURFREESBORO STATE: TN ZIP: 37133-1398 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL HEALTHCARE CORP CENTRAL INDEX KEY: 0001047335 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 522057472 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 VINE ST STREET 2: STE 1400 CITY: MURFREESBORO STATE: TN ZIP: 37130 BUSINESS PHONE: 6158902020 MAIL ADDRESS: STREET 1: 100 VINE ST STREET 2: STE 1400 CITY: MURFREESBORO STATE: TN ZIP: 37130 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2012-02-07 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012859 LAROCHE RICHARD F JR 2103 SHANNON DRIVE MURFREESBORO TN 37129 1 0 0 0 Common Stock, Family LP (BFLP) 29523 I General Partner Common Stock - Fam. Partnership (LR Ent.) 31698 D Common Stock - Fam. Partnership (LFLP) 104138 I General Partner Common Stock - Held in my name or my wife's name 2012-02-07 4 S 0 2000 48.25 D 164793 D Shares of Series A Conv. Preferred Stock -(BFLP) 96534 I General Partner Shares of Series A Conv. Preferred Stock (LR Ent.) 375602 D Shares of Series A Conv. Preferred Stock- (LFLP) 425 I General Partner Shares of Series A Conv. Preferred Stock-Family Foundation 8500 I Trustee Option to Purchase Common Stock 52.50 2007-04-24 2012-04-23 Common Stock 13000 13000 D Option to Purchase Common Stock 51.50 2008-05-01 2013-05-01 Common Stock 15000 15000 D Option to Purchase Common Stock 37.70 2009-05-05 2014-05-04 Common Stock 11900 11900 D Option to Purchase Common Stock 45.80 2011-05-09 2016-05-08 Common Stock 7500 7500 D Richard F. LaRoche, Jr. 2012-02-08