0001127602-24-005069.txt : 20240214
0001127602-24-005069.hdr.sgml : 20240214
20240214170935
ACCESSION NUMBER: 0001127602-24-005069
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231231
FILED AS OF DATE: 20240214
DATE AS OF CHANGE: 20240214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ADAMS W ANDREW
CENTRAL INDEX KEY: 0001012853
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
ORGANIZATION NAME: 08 Industrial Applications and Services
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10822
FILM NUMBER: 24640413
MAIL ADDRESS:
STREET 1: P.O. BOX 1398
CITY: MURFREESBORO
STATE: TN
ZIP: 37133-1398
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NATIONAL HEALTH INVESTORS INC
CENTRAL INDEX KEY: 0000877860
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
ORGANIZATION NAME: 05 Real Estate & Construction
IRS NUMBER: 621470956
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 222 ROBERT ROSE DRIVE
CITY: MURFREESBORO
STATE: TN
ZIP: 37129
BUSINESS PHONE: 6158909100
MAIL ADDRESS:
STREET 1: 222 ROBERT ROSE DRIVE
CITY: MURFREESBORO
STATE: TN
ZIP: 37129
5
1
form5.xml
PRIMARY DOCUMENT
X0508
5
2023-12-31
0
0
0000877860
NATIONAL HEALTH INVESTORS INC
NHI
0001012853
ADAMS W ANDREW
222 ROBERT ROSE DRIVE
MURFREESBORO
TN
37129
1
0
Common Stock By Amk, L.p.
2023-01-26
5
G
0
35000
0
D
0
D
Common Stock by W. Andrew Adams Exempt Trust
121035
D
Common Stock - Revocable Living Trust
708469
I
Trustee
Common Stock By Adams Family Foundation II
177000
I
Trustee
Common Stock by JMA Grandchildren's Trust
12635
I
Trustee
Common Stock - held by Spouse
11707
I
Common Stock held by Spouse
Stock Option Grant 2-21-19
79.96
2019-02-21
2024-02-21
Common Stock
25000
25000
D
Stock Options (Right to Buy) 2-21-2020
90.79
2020-02-21
2025-02-21
Common Stock
25000
25000
D
Stock Options (Right to Buy) 2-25-2021
69.20
2021-02-25
2026-02-25
Common Stock
25000
25000
D
Stock Option (Right to buy) 2022
53.41
2022-02-25
2027-02-25
Common Stock
25000
25000
D
Stock Option (Right to Buy) 2023
54.73
2023-02-24
2028-02-24
Common Stock
10000
10000
D
To reflect a change in form of beneficial ownership as a result of Common stock held by W. Andrew Adams as direct owner and shares held by Springland Ventures, LP, the W. Andrew Adams Non-exempt trust, and AMK, LP being transferred to W. Andrew Adams Exempt Trust in 2023.
To reflect a change in form of beneficial ownership as a result of 708,469 shares transferred from AMK, LP to the W. Andrew Adams Revocable Living Trust in 2023.
/s/W. Andrew Adams
2024-02-14