0001437749-21-011327.txt : 20210507 0001437749-21-011327.hdr.sgml : 20210507 20210507155411 ACCESSION NUMBER: 0001437749-21-011327 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210506 FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 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: 21902414 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 FORM 4 X0306 4 2021-05-06 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012855 ADAMS ROBERT G 100 VINE STREET MURFREESBORO TN 37130 1 Shares of Common Stock - Partnership 428407 I General Partner Shares of Common Stock - Trust I 1034 I Trustee Option to Purchase Common Stock 72.9400 2017-05-09 2022-05-08 Common Stock 3025 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 Option to Purchase Common Stock 71.64 2021-05-06 4 A 0 7500 0 A 2022-05-06 2026-05-05 Common Stock 7500 7500 D These stock options were granted pursant to the 2020 Obmnibus Equity Incentive Plan on May 6, 2021. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d). /s/ Robert G. Adams 2021-05-06