nhc20240103d_sec16.htm

0001437749-24-004165.txt : 20240214 0001437749-24-004165.hdr.sgml : 20240214 20240214162920 ACCESSION NUMBER: 0001437749-24-004165 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 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: 001-13489 FILM NUMBER: 24639009 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 5 1 rdgdoc.xml ESTATE PLANNING X0508 5 2023-12-31 0 0 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012853 ADAMS W ANDREW 100 VINE STREET MURFREESBORO TN 37130 1 0 Shares of Common Stock - my name or my spouse's name 0 D Shares of Common Stock - AdamsMark, L.P. 0 D Shares of Common Stock - WAA Exempt Trust 399929 D Shares of Common Stock - Revocable Living Trust 254572 D Shares of Common Stock - Adams Family Foundation II 35407 I Trustee Shares of Common Stock - Adams Grandchildren's Trust 2307 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 Filer's accounts underwent estate planning asset restructuring in 2023. This Form is being filed solely to report such. This resulted in a change in form of beneficial ownership, but there was no change in total amount of securities owned. The WAA Exempt Trust shall forthwith be titled Exempt Trust. /s/ W. Andrew Adams by Kristina R. Hulsey, P.O.A. 2024-02-14 EX-24 2 adamswapoa.htm nhc20240103d_sec16.htm

Exhibit 24

POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints each of Kristina R. Hulsey and Trevor W. Layland (each, an “attorney-in-fact”), or either one of them signing alone, and with full power of substitution, as the undersigned's true and lawful attorney-in-fact to:

(1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

(2) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of National HealthCare Corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

(4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

For the avoidance of doubt, any one attorney-in-fact may act in my name and stead pursuant to this Power of Attorney without the joinder or permission of the other attorney-in-fact or any required notice to them.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to

be executed as of this 2nd day of November, 2023.

/s/ W. Andrew Adams

Signature

W. Andrew Adams

Filer Name