0001437749-23-034763.txt : 20231218 0001437749-23-034763.hdr.sgml : 20231218 20231218163952 ACCESSION NUMBER: 0001437749-23-034763 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20231215 FILED AS OF DATE: 20231218 DATE AS OF CHANGE: 20231218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS ROBERT G CENTRAL INDEX KEY: 0001012855 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] ORGANIZATION NAME: 08 Industrial Applications and Services STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13489 FILM NUMBER: 231494333 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 NET EXERCISE X0508 4 2023-12-15 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012855 ADAMS ROBERT G 100 VINE STREET MURFREESBORO TN 37130 1 0 Shares of Common Stock - Partnership 430341 I General Partner Shares of Common Stock - Trust I 2023-12-15 4 M 0 7500 77.92 A 10534 I Trustee Shares of Common Stock - Trust I 2023-12-15 4 F 0 6203 94.21 D 4331 I Trustee Shares of Common Stock - Trust I 2023-12-15 4 M 0 5566 64.64 A 9897 I Trustee Shares of Common Stock - Trust I 2023-12-15 4 F 0 3818 94.21 D 6079 I Trustee Option to Purchase Common Stock 77.92 2023-12-15 4 M 0 7500 0 D 2019-05-09 2024-05-08 Common Stock 7500 0 D Option to Purchase Common Stock [2020 Grant] 64.64 2023-12-15 4 M 0 5566 0 D 2021-05-07 2025-05-06 Common Stock 5566 0 D Option to Purchase Common Stock [2021 Grant] 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 Option to Purchase Common Stock [2023 Grant] 55.7500 2024-05-04 2028-05-03 Common Stock 7500 7500 D These stock options were granted pursuant to the 2010 Omnibus Equity Incentive Plan on May 9, 2019. The grant and exercise of these stock options are exempt from Section 16(b) pursuant to Rule 16b-3(d). Shares were withheld by the Company to pay the exercise price. 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). Total amount of shares beneficially owned following all transactions reported for the Title of Securities "Shares of Common Stock - Trust I" on this form. /s/ Robert G. Adams, by Kristina R. Hulsey, POA 2023-12-18 EX-24 2 poa_rga.htm ex_594291.htm

Exhibit 24.

 

 

 

 

POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints each of Kristina R. Hulsey and Trevor W. Layland (each, an “attorney-in-fact”), or either one of them signing alone, and with full power of substitution, as the undersigned's true and lawful attorney-in-fact to:

 

(1)         prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

 

(2)         execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of National HealthCare Corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

(3)         do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

 

(4)         take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

 

For the avoidance of doubt, any one attorney-in-fact may act in my name and stead pursuant to this Power of Attorney without the joinder or permission of the other attorney-in-fact or any required notice to them.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 2nd day of November, 2023.

 

 

 

 

/s/ Robert G. Adams

Signature

 

 

Robert G. Adams

Filer Name