0001437749-19-005205.txt : 20190318 0001437749-19-005205.hdr.sgml : 20190318 20190318173758 ACCESSION NUMBER: 0001437749-19-005205 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190314 FILED AS OF DATE: 20190318 DATE AS OF CHANGE: 20190318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH JEFFREY RUSSELL CENTRAL INDEX KEY: 0001694452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 19689485 MAIL ADDRESS: STREET 1: 100 VINE ST. CITY: MURFREESBORO STATE: TN ZIP: 37130 FORMER NAME: FORMER CONFORMED NAME: SMITH JEFFREY R DATE OF NAME CHANGE: 20170111 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 2019-03-14 0001047335 NATIONAL HEALTHCARE CORP NHC 0001694452 SMITH JEFFREY RUSSELL 100 VINE STREET MURFREESBORO TN 37130 1 SVP & Treasurer Shares of Common Stock held in my name 2019-03-14 4 M 0 12000 72.94 A 13172 D Shares of Common Stock held in my name 2019-03-14 4 F 0 11178 80.80 D 1994 D Option to Purchase Common Stock 72.94 2019-03-14 4 M 0 12000 0 D 2019-02-14 2022-03-11 Common Stock 60000 48000 D These stock options were granted pursuant to the Company's 2010 Omnibus Equity Incentive plan on March 14, 2017. On February 14, 2019, the Compensation Committee amended the option to grant a 30 day window to exercise up to 40% of this option, with any shares issued upon exercise to be held as restricted stock until 2/9/22, the original date exercisable. 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 amount of common shares owned following transactions reported on this form. /s/ Jeffrey Russell Smith 2019-03-18