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