0001437749-21-004978.txt : 20210304 0001437749-21-004978.hdr.sgml : 20210304 20210304154326 ACCESSION NUMBER: 0001437749-21-004978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210302 FILED AS OF DATE: 20210304 DATE AS OF CHANGE: 20210304 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 21713981 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 - 2021 BONUS USED X0306 4 2021-03-02 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012855 ADAMS ROBERT G 100 VINE STREET MURFREESBORO TN 37130 1 Shares of Common Stock - Partnership 2021-03-02 4 M 0 2750 72.94 A 428407 I General Partner Shares of Common Stock - Trust I 1034 I Trustee Option to Purchase Common Stock 72.94 2021-03-02 4 M 0 2750 0 D 2017-05-09 2022-05-08 Common Stock 5775 3025 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 May 9, 2017. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d). /s/ Robert G. Adams 2021-03-04