0001437749-23-014974.txt : 20230517 0001437749-23-014974.hdr.sgml : 20230517 20230517174756 ACCESSION NUMBER: 0001437749-23-014974 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230515 FILED AS OF DATE: 20230517 DATE AS OF CHANGE: 20230517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURGESS ERNEST G III CENTRAL INDEX KEY: 0001012856 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: 23933100 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 PURCHASE X0407 4 2023-05-15 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012856 BURGESS ERNEST G III 100 VINE STREET MURFREESBORO TN 37130 1 0 Shares of Common Stock held in BTCP Trust 2023-05-15 4 P 0 2300 58.8479 A 83000 I Trustee Option to Purchase Common Stock 77.9200 2019-05-09 2024-05-08 Common Stock 7500 7500 D Option to Purchase Common Stock [2020 Grant] 64.6400 2021-05-07 2025-05-06 Common Stock 7500 7500 D Option to Purchase Common Stock [2021 Grant] 71.6400 2022-05-06 2026-05-05 Common Stock 7500 7500 D Option to Purchase Common Stock [2022 Grant] 69.1900 2023-05-05 2027-05-04 Common Stock 7500 7500 D Option to Purchase Common Stock [2023 Grant] 55.7500 2024-05-04 2028-05-03 Common Stock 7500 7500 D On February 17, 2023, the shares under reporting person's individual name were transferred to a Trust in which reporting person and reporting person's spouse are Trustees and Beneficiaries. /s/ Ernest G. Burgess, III by Kristina R. Hulsey, P.O.A. 2023-05-17