0001437749-21-010360.txt : 20210430 0001437749-21-010360.hdr.sgml : 20210430 20210430110139 ACCESSION NUMBER: 0001437749-21-010360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210427 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 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: 21874960 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 OPTION EXERCISE X0306 4 2021-04-27 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012859 LAROCHE RICHARD F JR 100 VINE STREET MURFREESBORO TN 37130 1 Common Stock - Held in my name or my wife's name 2021-04-27 4 M 0 7500 62.78 A 189313 D Common Stock - Family LP (BFLP) 30000 I General Partner Common Stock - Fam. Partnership (LR Ent.) 31698 D Common Stock - Fam. Partnership (LFLP) 96000 I General Partner Option to Purchase Common Stock 62.78 2021-04-27 4 M 0 7500 0 D 2016-06-02 2021-06-01 Common Stock 7500 0 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 Option to Purchase Common Stock 64.6400 2021-05-07 2025-05-06 Common Stock 7500 7500 D These stock options were granted pursuant to the 2010 Omnibus Equity Incentive Plan on June 2, 2016. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d). /s/ Richard F. LaRoche, Jr. 2021-04-29