0001437749-22-013037.txt : 20220519
0001437749-22-013037.hdr.sgml : 20220519
20220519152627
ACCESSION NUMBER: 0001437749-22-013037
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220518
FILED AS OF DATE: 20220519
DATE AS OF CHANGE: 20220519
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: 22942613
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
EXERCISE
X0306
4
2022-05-18
0001047335
NATIONAL HEALTHCARE CORP
NHC
0001012855
ADAMS ROBERT G
100 VINE STREET
MURFREESBORO
TN
37130
1
Shares of Common Stock - Partnership
2022-05-18
4
M
0
1934
64.64
A
430341
I
General Partner
Shares of Common Stock - Trust I
1034
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
64.64
2022-05-18
4
M
0
1934
0
D
2021-05-07
2025-05-06
Common Stock
7500
5566
D
Option to Purchase Common Stock
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
These stock options were granted pursuant to the 2020 Omnibus Equity Incentive Plan on May 7, 2020. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d).
/s/ Robert G. Adams
2022-05-16