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