0001437749-24-005928.txt : 20240228 0001437749-24-005928.hdr.sgml : 20240228 20240228173037 ACCESSION NUMBER: 0001437749-24-005928 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240227 FILED AS OF DATE: 20240228 DATE AS OF CHANGE: 20240228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURGESS ERNEST G III CENTRAL INDEX KEY: 0001012856 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: 24697310 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 OPTION EXERCISE X0508 4 2024-02-27 0001047335 NATIONAL HEALTHCARE CORP NHC 0001012856 BURGESS ERNEST G III 100 VINE STREET MURFREESBORO TN 37130 1 0 Shares of Common Stock held in BTCP Trust 2024-02-27 4 M 0 2000 64.64 A 85000 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 [2020 Grant] 64.64 2024-02-27 4 M 0 2000 0 D 2021-05-07 2025-05-06 Common Stock 7500 5500 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 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/ Ernest G. Burgess, III 2024-02-28