0001437749-20-009105.txt : 20200501 0001437749-20-009105.hdr.sgml : 20200501 20200501122550 ACCESSION NUMBER: 0001437749-20-009105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200429 FILED AS OF DATE: 20200501 DATE AS OF CHANGE: 20200501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS W ANDREW CENTRAL INDEX KEY: 0001012853 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: 20839577 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 E. VINE ST CITY: MURFREESBORO STATE: TN ZIP: 37130 BUSINESS PHONE: 6158902020 MAIL ADDRESS: STREET 1: 100 E. VINE ST CITY: MURFREESBORO STATE: TN ZIP: 37130 4 1 rdgdoc.xml NET AND BONUS X0306 4 2020-04-29 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012853 ADAMS W ANDREW 100 VINE STREET MURFREESBORO TN 37130 1 Shares of Common Stock - my name or my spouse's name 2020-04-30 4 M 0 2041 61.25 A 29531 D Shares of Common Stock - my name or my spouse's name 2020-04-29 4 M 0 5459 61.25 A 34990 D Shares of Common Stock - my name or my spouse's name 2020-04-29 4 F 0 4520 61.25 D 30470 D Shares of Common Stock - AdamsMark, L.P. 610813 D Shares of Common Stock - WAA Exempt Trust 1937 D Shares of Common Stock - Adams Family Foundation II 35407 I Trustee Option to Purchase Common Stock 61.25 2020-04-30 4 M 0 2041 0 D 2015-05-07 2020-05-06 Common Stock 7500 5459 D Option to Purchase Common Stock 61.25 2020-04-29 4 M 0 5459 0 D 2015-05-07 2020-05-06 Common Stock 5459 0 D Option to Purchase Common Stock 62.7800 2016-06-02 2021-06-01 Common Stock 7500 7500 D Option to Purchase Common Stock 72.9400 2017-05-09 2022-05-08 Common Stock 7500 7500 D Option to Purchase Common Stock 61.9000 2018-05-03 2023-05-02 Common Stock 7500 7500 D Option to Purchase Common Stock 77.9200 2019-05-09 2024-05-08 Common Stock 7500 7500 D These stock options were granted pursuant to the 2010 Omnibus Equity Incentive Plan on May 7, 2015. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d). Shares were withheld by the Company to pay the exercise price. Total of the "Shares of Common Stock - my name or my spouse's name" security following transactions reported on this form. /s/ W. Andrew Adams 2020-05-01