0001047335-16-000174.txt : 20160211 0001047335-16-000174.hdr.sgml : 20160211 20160211170107 ACCESSION NUMBER: 0001047335-16-000174 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160211 DATE AS OF CHANGE: 20160211 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 VINE ST STREET 2: STE 1400 CITY: MURFREESBORO STATE: TN ZIP: 37130 BUSINESS PHONE: 6158902020 MAIL ADDRESS: STREET 1: 100 VINE ST STREET 2: STE 1400 CITY: MURFREESBORO STATE: TN ZIP: 37130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS ROBERT G CENTRAL INDEX KEY: 0001012855 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 161412516 MAIL ADDRESS: STREET 1: P.O. BOX 1398 CITY: MURFREESBORO STATE: TN ZIP: 37133-1398 5 1 edgar.xml PRIMARY DOCUMENT X0306 5 2015-12-31 0 0 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012855 ADAMS ROBERT G 100 E. VINE ST., SUITE 1400 MURFREESBORO TN 37130 1 1 0 0 CEO Shares of Common Stock in my name and my partnership name 22141 D Shares of Common Stock held in Trust I 1034 I Trustee Shares of Common Stock held in Partnership 368432 I General Partner Option to purchase Common Stock 46.69 2012-12-04 2016-02-29 Common Stock 25859 25859 D Filer no longer has ownership in the partnership and therefore the amount of common shares in his name decreased by 15,000. /s/ Robert G. Adams 2016-02-11