0001047335-15-000128.txt : 20151104
0001047335-15-000128.hdr.sgml : 20151104
20151104163453
ACCESSION NUMBER: 0001047335-15-000128
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151102
FILED AS OF DATE: 20151104
DATE AS OF CHANGE: 20151104
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 VINE ST
STREET 2: STE 1400
CITY: MURFREESBORO
STATE: TN
ZIP: 37130
BUSINESS PHONE: 6158902020
MAIL ADDRESS:
STREET 1: 100 VINE ST
STREET 2: STE 1400
CITY: MURFREESBORO
STATE: TN
ZIP: 37130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DANIEL DONALD K
CENTRAL INDEX KEY: 0001012857
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: 151197401
MAIL ADDRESS:
STREET 1: P.O. BOX 1398
CITY: MURFREESBORO
STATE: TN
ZIP: 37133-1398
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-11-02
0001047335
NATIONAL HEALTHCARE CORP
NHC
0001012857
DANIEL DONALD K
100 VINE ST., SUITE 1200
MURFREESBORO
TN
37130
0
1
0
0
Sr. Vice President, Controller
Shares of Common Stock
2015-11-02
4
C
0
242
0
A
265581
I
Partnership
Option to purchase Common Stock
46.69
2012-12-04
2016-02-29
Common Stock
39859
21000
D
Shares of Series A Convertible Preferred Stock
2015-11-02
4
C
0
1000
0
D
2007-11-01
2015-11-03
Common Stock
242
140073
D
Shares of Series A Convertible Preferred Stock
2015-11-03
4
J
0
140073
15.79
D
2007-11-01
2015-11-03
Common Stock
33903
0
D
The Form 5 filed 2/9/2015 should have reported 244,339 shares of common stock. The difference of 27 shares is added to this line's total.
Convertible anytime at a ratio of 0.24204 common shares per 1.0 preferred share.
The Filer converted 1,000 shares of Series A Convertible Preferred into Common Stock at the conversion rate of 0.24204 common shares per preferred share.
The reported securities were called for redemption by the issuer at a price equal to $15.79 per share.
/s/ Donald K. Daniel
2015-11-04